Document Detail

The lateral paramedian incision--experience with 850 cases.
MedLine Citation:
PMID:  6751459     Owner:  NLM     Status:  MEDLINE    
We present our experience in 850 consecutive patients who had a laparotomy through a lateral paramedian incision during the period 1977-1981. These patients underwent both elective and emergency procedures covering a wide range of intra-abdominal conditions, and had a high incidence of factors known to predispose to wound dehiscence and incisional hernia formation. Follow-up in each case for at least 1 year revealed no wound dehiscences and 3 incisional hernias (0.37 per cent). We conclude that the lateral paramedian incision is inherently strong and that this strength is due to the splintage of the wound by the rectus abdominis muscle and the wide shutter mechanism that this provides.
D R Donaldson; J H Hegarty; T G Brennan; P J Guillou; P J Finan; T J Hall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  69     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1982 Oct 
Date Detail:
Created Date:  1982-12-16     Completed Date:  1982-12-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  630-2     Citation Subset:  AIM; IM    
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MeSH Terms
Hernia / etiology
Laparotomy / adverse effects,  methods*
Middle Aged
Surgical Wound Dehiscence / etiology
Surgical Wound Infection / etiology
Suture Techniques

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