Document Detail

A comparison of the periumbilical incision and the intraumbilical incision in laparoscopic appendectomy.
MedLine Citation:
PMID:  23230554     Owner:  NLM     Status:  PubMed-not-MEDLINE    
PURPOSE: The intraumbilical incision is being used more frequently, with increasing cases of single incision laparoscopic surgery. Since the umbilicus is deeper than the surrounding wall, it has abundant bacteria. No study has compared the adverse outcomes of periumbilical and intraumbilical incisions. We analyzed the wound complication rates of perforated appendicitis patients according to the types of umbilical incision.
METHODS: A retrospective review was done of 280 patients with perforated appendicitis. One hundred fifty nine patients were treated with the intraumbilical incision, and 121 patients were treated with the periumbilical incision. We compared the perioperative outcomes according to each laparoscopic incision.
RESULTS: There was no difference in operation time, postoperative hospital stay and analgesic requirement between the two groups. One case in the intraumbilical group (0.6%) and three cases in the periumbilical group (2.5%) developed wound infections. The umbilical complication rate showed no difference.
CONCLUSION: The wound complication rate of intraumbilical and periumbilical incisions are not different. Although this retrospective study has inherent limitations, the intraumbilical incision seems to be a safe and feasible alternative for the periumbilical incision that can be easier to perform, with better cosmetic results.
Jun Suh Lee; Tae Ho Hong; Jun Gi Kim
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Publication Detail:
Type:  Journal Article     Date:  2012-11-27
Journal Detail:
Title:  Journal of the Korean Surgical Society     Volume:  83     ISSN:  2233-7903     ISO Abbreviation:  J Korean Surg Soc     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-11     Completed Date:  2012-12-12     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101564795     Medline TA:  J Korean Surg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  360-6     Citation Subset:  -    
Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
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