| Transverse versus midline incision for upper abdominal surgery. | |
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MedLine Citation:
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PMID: 15674491 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Transverse and midline abdominal incisions are both commonly used for laparotomy to perform surgery on the pancreas and stomach, but comparative data are limited, especially from prospective randomized trials. METHODS: During a predefined 2-year recruitment period, 94 patients undergoing an elective major laparotomy for disorders of the pancreas or stomach were enrolled in this study. The outcome measures were pulmonary function, incisional pain, and wound characteristics. RESULTS: The operation groups were equally divided according to the type of incision used. The patients who underwent transverse incision laparotomy had significantly better postoperative pulmonary function and significantly less postoperative incisional pain than those who underwent midline incision laparotomy (P < 0.05), but there were no differences in morbidity and the incidence of wound complications. CONCLUSION: Performing a transverse incision for surgery on the pancreas or stomach results in better postoperative pulmonary function and less incisional pain than a midline incision, without affecting postoperative morbidity. |
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Authors:
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Jan Martin Proske; Jürgen Zieren; Joachim M Müller |
Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Surgery today Volume: 35 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 2005 |
Date Detail:
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Created Date: 2005-01-27 Completed Date: 2005-05-27 Revised Date: 2006-08-03 |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: Japan |
Other Details:
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Languages: eng Pagination: 117-21 Citation Subset: IM |
Affiliation:
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Department of General, Vascular, Thoracic and Visceral Surgery, Charité, Campus Mitte, Humboldt University Berlin, Schumannstrasse 20/21, D-10117 Berlin, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Laparotomy / methods* Male Middle Aged Outcome Assessment (Health Care) Pain, Postoperative / epidemiology Pancreatic Diseases / surgery* Postoperative Complications / epidemiology Prospective Studies Respiratory Function Tests Skin / surgery Stomach Diseases / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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