Mass closure vs. layer-by-layer closure of transverse laparotomy in children: a randomized trial with ultrasound and elastography outcomes
Mass closure resulted in significantly higher stiffness and fatty infiltration of the muscle sheath complex compared to layer-by-layer closure, as shown by elastography and ultrasound. These biomechanical alterations may predispose to increased long-term risk of incisional hernia despite comparable short-term outcomes.
Authors
- Shaimaa Abdelmonem Abdelwahab (ORCID: https://orcid.org/0000-0002-9102-3448)
- Mohamed Ali Shehata (ORCID: https://orcid.org/0000-0003-3913-1836)
- Mohammad Gharieb Khirallah (ORCID: https://orcid.org/0000-0003-4261-7474)
- Mazin Kurdi
- Radwa Elkhouly
- Suzan Ezzat Gado
Institutions
- King Abdulaziz University (SA)
- Tanta University (EG)
- Tanta University Hospital (EG)
- King Abdulaziz Hospital (SA)
Publication Details
- Journal
- Frontiers in Pediatrics
- Published
- 2025-08-13
- DOI
- https://doi.org/10.3389/fped.2025.1655851
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 0.00