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The Fowler-Weir approach to appendicectomy.

A R Askew

    The British Journal of Surgery
    |April 1, 1975
    PubMed
    Summary

    The Fowler-Weir incision offers rapid abdominal access for appendicectomy with reduced infection rates. While postoperative pain is similar to traditional methods, this approach lowers overall patient morbidity.

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    Area of Science:

    • Surgical techniques
    • Abdominal surgery
    • Appendiceal disease management

    Background:

    • The McBurney approach is a standard muscle-splitting technique for appendicectomy.
    • Minimally invasive surgical options aim to reduce trauma and improve patient outcomes.
    • Assessing alternative surgical approaches is crucial for optimizing appendicectomy procedures.

    Purpose of the Study:

    • To evaluate the Fowler-Weir incision as an alternative surgical approach for appendicectomy.
    • To compare the Fowler-Weir method with the classic McBurney approach regarding surgical access, postoperative pain, and infection rates.

    Main Methods:

    • The Fowler-Weir approach involves rapid opening of the abdominal cavity.
    • Surgical outcomes were assessed, focusing on wound pain and infection rates.
    • Comparison was made against the traditional muscle-splitting (McBurney) appendicectomy technique.

    Main Results:

    • The Fowler-Weir method provides rapid abdominal access and good visualization of the appendix.
    • Postoperative wound pain appears comparable to the muscle-splitting approach.
    • A significant decrease in wound and deep infection rates was observed with the Fowler-Weir approach compared to the McBurney method.

    Conclusions:

    • The Fowler-Weir incision is a viable alternative for appendicectomy, offering efficient surgical access.
    • Despite similar pain levels, the reduction in infection rates suggests improved patient safety and lower morbidity.
    • This approach represents a beneficial modification for appendicectomy procedures, enhancing patient recovery.

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