“…Multiple factors play a role in the development of IH, including patient-related risk factors, incision type, closure technique, suture material, and wound infection ( 4 , 5 ). While patient-related risk factors such as obesity, diabetes, malnutrition, and smoking ( [5] , [6] , [7] ) are well-accepted associations with the development of IH, the highest quality technique for celiotomy closure has been heavily debated. Factors related to surgical technique include continuous vs. interrupted suture, suture length to wound length ratio, bite size, needle size and type of suture, en masse vs. fascial-only closure, prophylactic mesh vs. primary closure, and presence of tension ( 5 , 8 ).…”