ABSTRACT
The appropriate choice of incision is determined by the ability to gain access and exposure, the ease of extension, speed and cosmesis. Closure with suture one centimeter apart and one centimeter from the wound edge ensure a low risk of ‘cut through’ in abdominal wound closure. Enzymes catalyse the breakdown of tissue around the suture. Hypertrophic scarring in contrast to keloid scarring resolves after 6 months and does not extend beyond the wound edge. Risk of keloid scarring is directly proportional to the number of melanocytes in the skin and has a familial tendency.
