技术文库>资源分类>行业论文>医学论文> cutting hernia after upper abdominal surgery: a randomised controlled trial of middle line versus横切口( DOI 10.1007/s10029-008-0469-7 ORIGINAL ARTICLE Incisional hernia after upper abdominal surgery: a randomised controlled trial of midline versus transverse incision )

H. Lip P. I. Schmitz J. A. Halm

© The Author(s) 2009. This article is published with open access at Springerlink.com Objectives To determine whether a transverse incision is an alternative to a midline incision in terms of incisional hernia incidence, surgical site infection, postoperative pain, hospital stay and cosmetics in cholecystectomy. Summary background data Incisional hernias after midline incision are commonly underestimated but probably complicate between 2 and 20 % of all abdominal wall closures. The midline incision is the preferred incision for surgery of the upper abdomen despite evidence that alternatives, such as the lateral paramedian and transverse incision, exist and might reduce the rate of incisional hernia. A RCT was preformed in the pre-laparoscopic cholecystectomy era the data of which were never published. Methods One hundred and Wfty female patients were randomly allocated to cholecystectomy through midline or transverse incision. Early complications, the duration to discharge and the in-hospital use of analgesics was noted. Patients returned to the surgical outpatient clinic for evaluation

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