A multicenter randomized controlled trial comparing midline laparotomy closures using the small-bite suture technique alone to those using the small-bite suture technique with an additional onlay prophylactic polypropylene mesh. The primary endpoint is the incidence of incisional hernias in both groups after one year.
Surgery predominantly done my midline laparotomy
Age 18 years old or older
Written consent by patient/family
Midline laparotomy with delayed closure
Age under 18 years
Pregnancy
Previous abdominal midline hernia mesh repair
Abdominal compartment syndrome