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Abdominal incisions--vertical or transverse?

H Ellis, P D Coleridge-Smith, A D Joyce

    Postgraduate Medical Journal
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    This study found no significant difference in wound healing between vertical and transverse abdominal incisions. Both paramedian and median vertical incisions showed similar outcomes to transverse incisions for abdominal wound repair.

    Area of Science:

    • Surgical Incisions
    • Wound Healing
    • Abdominal Surgery

    Background:

    • Abdominal incisions are common in surgery.
    • The choice between vertical and transverse incisions can impact wound healing.
    • Evidence comparing different abdominal incision types is ongoing.

    Purpose of the Study:

    • To compare the efficacy of vertical versus transverse abdominal incisions.
    • To evaluate wound failure rates for different abdominal incision techniques.
    • To determine the optimal abdominal incision for sound wound production.

    Main Methods:

    • Prospective, randomized trial involving 209 patients.
    • Comparison of paramedian versus transverse incisions in 96 patients.
    • Comparison of median versus paramedian vertical incisions in 79 patients.

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  • Follow-up for at least 1 year to assess wound failure.

    • Main Results:

    • No significant difference in wound failure rates between paramedian (46) and transverse (50) incisions.
    • No significant difference in wound failure rates between median (39) and paramedian (40) vertical incisions.
    • No demonstrated advantage of transverse over vertical incisions or paramedian over median incisions.

    Conclusions:

    • Neither transverse nor vertical abdominal incisions show a significant advantage in wound healing.
    • The choice between paramedian and median vertical incisions does not significantly impact wound failure rates.
    • Current evidence does not support one abdominal incision type over another for sound wound production.