{
  "abstract": "Background\n\nRectus sheath closure is a modifiable factor for incisional hernia, wound dehiscence, and surgical site infection. Guidelines recommend continuous small-bites closure using a slowly absorbable monofilament suture with a suture to wound length (SL:WL) ratio of at least 4:1. However, few data are available from obstetrics and gynecology, which is the specialty with the largest number of abdominal closures worldwide.Methods\n\nA cross-sectional survey was conducted among 58 surgeons with various levels of training and specialties to assess rectus sheath closure techniques, self-reported complications, and attitudes toward changing practice. Chi-square, Fisher's exact, and Mann-Whitney tests were used to compare professional levels. Predictors of complication occurrence were identified using logistic regression.Results\n\nMost participants were obstetricians and gynecologists (84.48%) working in academic hospitals (72.41%). Only 5.17% achieved the recommended SL:WL ratio ≥4:1, whereas 29.31% reported a ratio of 1:1 and 18.97% adhered to no specific ratio. The mean bite size (0.87 cm) and inter-suture distance (0.98 cm) were approximately double the recommended standard of 5 mm. Two-thirds (67.24%) used both monofilament and braided sutures despite the recommendation to only use monofilament. Self-reported incidence of hernia (1.72%) was lower than prospective estimates (11-30%). Surgeons with 6-10 years of experience had significantly higher odds of reporting complications than those with >15 years (odds ratio = 33.54; 95% confidence interval = 1.42-1724.32; p = 0.041). Despite widespread non-compliance, 74.14% expressed high willingness to change their practice, and lack of training was identified as the primary barrier (36.21%).Conclusion\n\nSurgeons, mainly obstetricians and gynecologists, significantly deviated from the recommended rectus sheath closure techniques. The high level of non-compliance and willingness to change suggested a lack of infrastructure and training, and structured educational interventions were identified as a priority target.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Obstetrics and Gynecology, King Abdul Aziz University, Jeddah, Saudi Arabia."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hanan M Shamrani"
    },
    {
      "affs": [
        0
      ],
      "name": "Sarah Qari"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5p1jemww7thqy.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jtumed.2026.09.011",
  "fulltext_url": "https://europepmc.org/articles/PMC13685443",
  "id": "5p1jemww7thqy",
  "issns": [
    "1658-3612"
  ],
  "landing_url": "https://europepmc.org/article/MED/42909382",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Hernia repair and management"
    ]
  ],
  "openalex": "W7221588202",
  "pdf_url": "https://europepmc.org/articles/PMC13685443?pdf=render",
  "pmcid": "PMC13685443",
  "pmid": "42909382",
  "published": "2026-10-13",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5p1jemww7thqy.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42909382",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42909382"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hernia repair and management",
      "subfield": "surgery"
    }
  ],
  "title": "Current practices and attitudes toward rectus sheath closure among surgeons: A cross-sectional study.",
  "title_text": "Current practices and attitudes toward rectus sheath closure among surgeons: A cross-sectional study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/5p1jemww7thqy",
  "venue": "Journal of Taibah University Medical Sciences",
  "versions": []
}