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Related Experiment Videos

Subcostal gridiron incision for biliary surgery

M Aurangzeb1, M Ahmad, M Kabir

  • 1Surgical "A" Unit, Hayat Shaheed Teaching Hospital, Peshawar.

JPMA. the Journal of the Pakistan Medical Association
|January 1, 1996
PubMed
Summary

This study of 400 patients found that a subcostal muscle splitting incision for extrahepatic biliary operations offers significant advantages. This surgical approach reduces hospital stay, blood loss, and post-operative pain, with low complication rates.

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Area of Science:

  • Surgery
  • Gastroenterology
  • Abdominal Surgery

Background:

  • Extrahepatic biliary operations are common procedures.
  • Minimizing surgical complications and recovery time is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of a subcostal muscle splitting incision for extrahepatic biliary operations.
  • To assess the impact of this surgical technique on patient morbidity, mortality, and recovery.

Main Methods:

  • Retrospective audit of 400 extrahepatic biliary operations performed between January 1979 and June 1995.
  • Analysis of patient demographics, diagnoses (acute/chronic cholecystitis), surgical procedures (cholecystectomy, common bile duct exploration), and outcomes.

Main Results:

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  • The study included 340 females (85%) and 60 males (15%).
  • Overall morbidity was 13.5% (3.5% procedure-related, 10.0% general), with a mortality rate of 0.5% (2 deaths).
  • The subcostal incision resulted in reduced hospital stay, blood loss, post-operative pain, and no incisional hernias or wound dehiscence.

Conclusions:

  • The subcostal muscle splitting incision is a safe and effective approach for extrahepatic biliary surgery.
  • This technique offers benefits including faster patient recovery and fewer complications.
  • The findings suggest this incision can be advantageously adopted in other surgical settings.