This is a very well thought out and good example of how to set up an objective randomized clinical study of matched patients, albeit with a relatively small number of cases. The title of this paper is however a little misleading in that the study really only compared speed of rectus divarication closure using a continuous 2/0 monofilament nylon, with a bidirectional locking Quill system (Quill Self-Retaining System [SRS], bidirectional barbed suture, Angiotech Pharmaceuticals Inc., Vancouver, British Columbia, Canada) and then compared the incidence of dehiscence of repair. The two layer 2/0 nylon closure control group was unnecessary in my opinion because recurrence of divarication after single layer closure is uncommon and there were too few cases studied.

Read the full article here: ASJ Article