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Related Experiment Videos

Transverse versus midline incision for upper abdominal surgery.

Jan Martin Proske1, Jürgen Zieren, Joachim M Müller

  • 1Department of General, Vascular, Thoracic and Visceral Surgery, Charité, Campus Mitte, Humboldt University Berlin, Schumannstrasse 20/21, D-10117 Berlin, Germany.

Surgery Today
|January 28, 2005
PubMed
Summary

For pancreatic and stomach surgery, transverse incisions offer better postoperative pulmonary function and less pain compared to midline incisions. This study found no difference in wound complications or morbidity between the two surgical approaches.

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Area of Science:

  • Abdominal Surgery
  • Surgical Incisions
  • Comparative Outcomes

Background:

  • Transverse and midline incisions are common for pancreatic and stomach laparotomies.
  • Limited comparative data exist, particularly from prospective randomized trials.

Purpose of the Study:

  • To compare the outcomes of transverse versus midline abdominal incisions for pancreatic and stomach surgery.
  • To evaluate pulmonary function, incisional pain, and wound characteristics post-laparotomy.

Main Methods:

  • A prospective randomized trial involving 94 patients undergoing elective major laparotomy.
  • Patients were recruited over a 2-year period for pancreatic or stomach disorders.
  • Outcome measures included pulmonary function tests, pain assessment, and wound complication surveillance.

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Main Results:

  • Transverse incisions led to significantly better postoperative pulmonary function compared to midline incisions (P < 0.05).
  • Patients with transverse incisions reported significantly less postoperative incisional pain.
  • No significant differences were observed in postoperative morbidity or wound complication rates between the incision types.

Conclusions:

  • Transverse abdominal incisions are associated with improved postoperative pulmonary function and reduced incisional pain for pancreatic and stomach surgery.
  • The choice of transverse incision does not negatively impact postoperative morbidity or wound complication rates.
  • Transverse incisions represent a potentially advantageous surgical approach for upper abdominal procedures.