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Updated: Oct 2, 2025

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
The transverse-vertical incision (Alazzam hybrid incision)
Moiad Alazzam1, Mostafa Abdallah Khalifa2, Abdallah Al-Ani3
1Consultant Gynaecological Oncology Surgeon, Department of Gynaecological Oncology, Churchill Hospital-Oxford University Hospitals, Old Road, Oxford, Headington OX3 7LN, UK. m.alazzam@nhs.net.
Abstract:
Open abdominal surgery evolved around two incisions, vertical and transverse incisions. Transverse incisions are associated with less postoperative morbidities but offer limited access. Vertical incisions offer better access but are associated with more complications. We describe here a hybrid incision, transverse-vertical incision that offers adequate exposure for complex lower abdominopelvic surgery while overcoming the limitations and morbidities associated with midline and transverse incisions.

