Avoiding muscle cutting while extending McBurney's incision: a new surgical concept

Area of Science:

• Surgical Techniques
• Abdominal Surgery
• Appendectomy

Background:

• Extending McBurney's incision by muscle cutting during appendectomy may increase patient morbidity.
• Difficult appendectomies require adequate surgical exposure.

Purpose of the Study:

• To present two new techniques for wound extension during appendectomy that avoid muscle cutting.
• To address specific indications for wound extension: malpositioned incisions and complicated cases.

Main Methods:

• A retrospective study analyzing 126 appendectomy cases.
• Technique 1: Double muscle-splitting incision for correcting malpositioned incisions.
• Technique 2: Combined muscle-splitting and vertical rectus sheath incision for complicated cases.

Main Results:

• The presented techniques successfully extended surgical exposure without muscle cutting.
• Application in 126 cases demonstrated feasibility and effectiveness.

Conclusions:

• Novel surgical techniques can effectively manage difficult appendectomies by optimizing wound extension.
• Avoiding muscle cutting during incision extension may reduce patient morbidity.