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Modified Makuuchi incision for major upper abdominal surgeries
Narendra Pandit1, Laligan Awale1, Shailesh Adhikary1
1Division of Surgical Gastroenterology, Department of Surgery, BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Abstract:
ackground: Numerous incisions are described for abdominal operations. However, opinion is divided regarding the correct choice of incision for major upper abdominal surgeries.
Materials And Methods:
Experience of 3 surgical centres with the use of modified Makuuchi incision, for major upper abdominal surgeries, from Mar 2014-Dec 2018, was audited.
Results:
144 patients (76 Males, 68 Females) with an average age of 48.25 years underwent surgery using modified Makuuchi incision. 'J' and 'L' incisions were used in 96 and 48 patients, respectively. Further extension of the incision was necessary in 2 patients. Adequate exposure and enhanced surgical ergonomics was observed in all cases. Surgical site infection was seen in 19 patients (13.2%). Incisional hernias was observed in 6 patients (4.2%), on an average follow up of 27.78 months.
Conclusions:
Modified Makuuchi incision proves efficacious for major upper abdominal surgeries.
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