ABSTRACT
The abdominal wall is a complex structure with a multitude of components, including skin, muscles, aponeuroses, fat and mesothelium. This musculo-aponeurotic structure is attached to the vertebral column posteriorly, the pelvic bones inferiorly, and the ribs superiorly. The integrity of the abdominal wall is essential for protecting the underlying organs, allowing for movement of the trunk of the body, providing assistance in respiration, and preventing herniation of the intra-abdominal contents. Breaches in this integrity can occur with incisions, drainage tubes, and postoperative complications. Furthermore, the closure of the incisions is affected by the method of closure, the type of suture used, and the development of wound sepsis. Recent studies have even identified that the suture technique, the suture length to wound length ratio, and the suture tension have an effect on the ultrastructural composition of the regenerating tissue and collagen composition.1
