{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:12:22Z","timestamp":1777907542883,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    A suture length to wound length (SL:WL) ratio of \u22654:1 when closing laparotomy incisions seems to help prevent incisional hernias. However, this practice is often not followed. Our prospective study of 140 patients assessed emergency midline laparotomy wound closure by surgical residents; and compared wound outcomes between those with and without a SL:WL ratio of \u22654:1. The latter was achieved in only one patient. While the incidence of wound dehiscence and of incisional hernia at six months was similar in those with a SL:WL ratio of &lt;3 and \u22653 (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.73 and\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.32 respectively), it was significantly higher in those with a SL:WL ratio &lt;2.5 than \u22652.5 (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.005 and\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.02 respectively). Even if an ideal SL:WL ratio of \u22654:1 cannot be achieved, a SL:WL ratio of \u22653 would be adequate to prevent surgeon-related wound dehiscence and incisional hernias.\n                  <\/jats:p>","DOI":"10.1177\/00494755251389644","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T17:19:14Z","timestamp":1761758354000},"page":"39-43","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From ideal to adequate: Revisiting the suture length\u2013wound length ratio in emergency midline laparotomy closure"],"prefix":"10.1177","volume":"56","author":[{"given":"Shailendra","family":"Sahu","sequence":"first","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4005-9862","authenticated-orcid":false,"given":"Uday","family":"Somashekar","sequence":"additional","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Muvel","sequence":"additional","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2373-4731","authenticated-orcid":false,"given":"Dileep Singh","family":"Thakur","sequence":"additional","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-8482","authenticated-orcid":false,"given":"Deepti Bala","family":"Sharma","sequence":"additional","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-8676","authenticated-orcid":false,"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[{"name":"NSCB Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2012.05.004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000068850"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1563-2563.2003.03008.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-014-1342-5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241598750004382"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241599750007432"},{"key":"e_1_3_2_8_2","first-page":"49","article-title":"A simplified prognostic scoring system for peptic ulcer perforation in developing countries","volume":"22","author":"Mishra A","year":"2003","unstructured":"Mishra A, Sharma D, Raina VK. 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