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The Original Rutherford Morison Incision: A Case Report.

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The Rutherford Morison incision, originally for pelvic surgery, was used for a right hemicolectomy in a patient with diastasis recti. This case highlights the incision

Keywords:
diastasis rectidivarication of rectus abdominishemicolectomyincisional herniaoriginal useport site herniarutherford morison incisionrutherford morison incision and hemicolectomy

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Area of Science:

  • Surgical techniques
  • Abdominal surgery
  • Colorectal surgery

Background:

  • The Rutherford Morison incision is commonly used for renal transplant surgery.
  • Historically, it was designed for pelvic and sigmoid colon access, especially in scarred abdomens.
  • This case explores its application in colorectal surgery.

Observation:

  • A middle-aged female presented with a caecal tumor requiring right hemicolectomy.
  • The patient had significant diastasis recti (separation of abdominal muscles).
  • A right-sided Rutherford Morison incision was chosen for the procedure.

Findings:

  • While minimally invasive surgery is preferred for colonic resections, laparoscopy was not used.
  • The Rutherford Morison incision was effective for accessing the caecum in this case.
  • The wide abdominal laxity in this patient posed a risk of herniation with port or midline incisions.

Implications:

  • The Rutherford Morison incision can be a valuable surgical option, even repurposed from its original intent.
  • Paramedian incisions are noted as alternatives with lower herniation rates.
  • Surgeons should consider the Rutherford Morison incision in their armamentarium for specific clinical scenarios to optimize outcomes.