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1

Burger, J. W. A., M. van't Riet, and J. Jeekel. "Abdominal Incisions: Techniques and Postoperative Complications." Scandinavian Journal of Surgery 91, no. 4 (2002): 315–21. http://dx.doi.org/10.1177/145749690209100401.

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Background and Aims: The choice of incision for laparotomy depends on the area that needs to be exposed, the elective or emergency nature of the operation and personal preference. Type of incision may however have its influence on the occurrence of postoperative wound complications. Techniques and features of various incisions are discussed, as well as the incidence of their postoperative complications. Method: A medline search was conducted identifying prospective randomised trials, as well as retrospective studies with sufficient follow-up, comparing midline, paramedian, transverse and obliq
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Hughes, Kenneth, and Niazy M. Selim. "The Lateral Paramedian: Revisiting a Forgotten Incision." American Surgeon 75, no. 4 (2009): 321–23. http://dx.doi.org/10.1177/000313480907500411.

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Incisional hernia is a potential complication of all abdominal incisions and still remains a significant problem financially and medically. Presently, there is a lack of general consensus among surgeons in regard to the optimal treatment. The midline incision is the most common used abdominal incision and it carries a high incidence of incisional hernia (up to 15%). The paramedian incision was known to lead to a small incidence of incisional hernias. This discussion is meant to bring the paramedian incision back to the picture as a hope to decrease the incidence of incisional hernia.
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Pandit, Narendra, Laligan Awale, Shailesh Adhikary, et al. "Modified Makuuchi incision for major upper abdominal surgeries." Polish Journal of Surgery 91, no. 5 (2019): 1–5. http://dx.doi.org/10.5604/01.3001.0013.5382.

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Background: Numerous incisions are described for abdominal operations. However, opinion is divided regarding the correct choice of incision for major upper abdominal surgeries. Material & methods: Experience of 3 surgical centres with the use of modified Makuuchi incision, for major upper abdominal surgeries, from Mar 2014- Dec 2018, was audited. Results: 144 patients [76 Males: 68 Females] with an average age of 48.25 years underwent surgery using modified Makuuchi incision. ’J’ and ‘L’ incisions were used in 96 and 48 patients, respectively. Further extension of the incision was necessar
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Nandukar, Vikranth S., Mohan Kumar K., Prakash M., and Suma S. "Diathermy versus scalpel incisions in elective abdominal surgery: a comparative study." International Surgery Journal 5, no. 9 (2018): 3124. http://dx.doi.org/10.18203/2349-2902.isj20183734.

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Background: Scalpel incisions produce little damage to surrounding tissues. There has been a widespread use of diathermy for hemostasis but fear of production of large scars and improper tissue healing has restricted their usage in making skin incisions. Use of diathermy in skin incisions reduces bleeding and makes the incision quicker, but there are no differences in wound burst strength. Objective of the study was to compare the use of diathermy and scalpel incisions in elective abdominal surgery’s to see the variations in incisional time, blood loss during incision, postoperative pain and w
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Muñoz Delgado, Gustavo E., and Maria A. Lastra Santiago. "Review of incisional hernias." International Surgery Journal 10, no. 4 (2023): 810–13. http://dx.doi.org/10.18203/2349-2902.isj20231005.

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The 10 to 15% of patients get incisional hernias following any type of abdominal wall incision, with midline wounds carrying a larger risk (3 to 20%). Infection at the surgery site, obesity, smoking, malnutrition, and poor surgical technique are risk factors. Clinical signs include an abdominal bulge at or near a prior incision, which, in non-obese individuals, is frequently identified by palpating the split borders of the fascial defect. CT imaging is particularly useful for complicated ventral hernias, which are characterized by enormous size or considerable loss of dominance. For the purpos
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Abdalla, Abdelhakim A., Mai N. Ageez, Hesham M. Borg, and Mostafa Z. Mohamed. "Diathermy versus scalpel in primary lower cesarean section after skin incision." Tanta Medical Journal 53, no. 3 (2025): 340–43. https://doi.org/10.4103/tmj.tmj_70_22.

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Background Cesarean section (CS) is one of the most repeated surgical operations conducted in the world. The diathermy is widely used for intra-operative hemostasis, but there are many issues like improper healing and big scars has limited their use for incisions. It takes shorter time than scalpel, less hemorrhage, lesser postoperative pain and complications. Aim Is to compare between diathermy and scalpel in transverse abdominal incision during CS to judge their effect on incision time, amount of hemorrhage, postoperative pain, wound infection, wound healing, and complications. Patients and
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Lesch, Carolin, Fabio Kugel, Katharina Uhr, et al. "Cyclic pulse loads generate the new concept in abdominal wall reconstruction: suture closure." Mini-invasive Surgery 7 (2023): 20. http://dx.doi.org/10.20517/2574-1225.2023.24.

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Aim: Incisional hernias frequently occur after open abdominal surgery. Up to 30% of elective midline laparotomy closures result in an incisional hernia. The properties of a safe abdominal wall reconstruction must be assessed under lifelike conditions to obtain a realistic estimate of the durability. The interplay of the biomechanical qualities determines the long-term stability of a repair. Various suture materials and techniques for optimal closure of the abdominal wall are still under discussion. The results of this experimental study might significantly affect the active discussion about op
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Paulo, Danilo N. S., Fausto E. L. Pereira, Ricardo F. da Mata, Fabyano R. Dauad, and Isabel C. A. L. Paulo. "Experimental models of longitudinal abdominal incisional hernia in rats." Acta Cirurgica Brasileira 12, no. 4 (1997): 235–39. http://dx.doi.org/10.1590/s0102-86501997000400004.

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Abdominal incisional hernias in rats has been produced after resection of a segment of abdominal muscle. In a attempt to create a model of incisional hernia in rats, without resection of abdominal muscle, the following surgical procedures were performed: (a) Rats anesthetized with ether were submitted to a 4 cm long median incision, supra and infraumbilical, followed by dissection of the subcutaneous tissue 1.5 cm laterally to the median line in each side; after, one incision was performed in the linea alba and peritoneum, with the same extension of the skin incision; the skin incision was sut
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9

Barone, Gary W., David M. Sailors, and Beverley L. Ketel. "Combined kidney and pancreas transplants through lower transverse abdominal incisions." Clinical Transplantation 10, no. 3 (1996): 316–19. http://dx.doi.org/10.1111/j.1399-0012.1996.tb00449.x.

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Improvements in the surgical aspects of combined kidney and pancreas transplants have resulted in better overall graft and patient survival. Pancreas transplants were initially performed through lower transplant flank incisions opposite the kidney. However, because of high wound complication rate, most centers now perform pancreas transplants through lower midline incisions. We retrospectively reviewed our experience in 40 combined kidney and pancreas transplant recipients with an initial group of 6 midline incisions. and 34 later lower transverse abdominal incisions. The number of midline inc
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10

Sunita, Yadav, Kaur Rupali, D. Apurva, and Mishra Atul. "A Study to Investigate the Possible Root Causes of Abdominal Wound Dehiscence." International Journal of Toxicological and Pharmacological Research 12, no. 12 (2022): 143–48. https://doi.org/10.5281/zenodo.7538117.

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<strong>Background:</strong> The most infamous complication seen following abdominal surgery is unquestionably abdominal wound dehiscence. In order to understand the factors influencing the disruption and incidence of abdominal wound dehiscence in various types of incisions, this study was conducted on 35 patients with abdominal wound dehiscence who were admitted and treated in the general surgery department at PIMS hospital. <strong>Methods:</strong> The study comprised 35 individuals who had abdominal wound dehiscence or bowel protrusion following any abdominal incisions for either emergency
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11

Jenkins, T. P. N. "ABDOMINAL INCISION." Lancet 333, no. 8635 (1989): 433–34. http://dx.doi.org/10.1016/s0140-6736(89)90021-4.

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Velanovich, Vic. "ABDOMINAL INCISION." Lancet 333, no. 8636 (1989): 508–9. http://dx.doi.org/10.1016/s0140-6736(89)91419-0.

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Abrahamson, Jack, and Samuel Eldar. "ABDOMINAL INCISION." Lancet 333, no. 8642 (1989): 847. http://dx.doi.org/10.1016/s0140-6736(89)92306-4.

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Nalini, Y. Lakshmi, Manipal Kumar Puvvala, A. Sarath Chandra, and Rajalingam. "A study to assess factors contributing for the occurrence of incisional hernia among patients operated with pfannenstiel incision and management with mesh repair." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 6 (2017): 2198. http://dx.doi.org/10.18203/2320-1770.ijrcog20172014.

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Background: Incisional hernia is due to failure of lines of closure of abdominal wall following laparotomy. Bowel or a part of bowel or omentum can bulge through the gap. The early occurrence (within 5 years) is mainly due to early sepsis and obesity. Objective of present study was to assess the factors contributing for the occurrence of incisional hernia.Methods: All the women who were operated between March 2014-December 2016 using a low transverse Pfannenstiel incision and who did not have any other lower (vertical) incisions and laparoscopic surgeries were followed up in the outpatient dep
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15

Li, Jiaxin, Kun Qian, Hong Wu, and Yong Zeng. "Effective preoperative abdominal incision planning on a patient with a history of repeated abdominal operations using a three-dimensional reconstruction technique: a case report." Journal of International Medical Research 47, no. 3 (2019): 1359–64. http://dx.doi.org/10.1177/0300060519828510.

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This case report describes the use of a three-dimensional reconstruction technique to plan the abdominal incision in order to avoid incision-related complications in a 53-year-old female patient who had had a cystic mass in the liver for 16 years and had undergone four previous surgeries. The patient presented with a recurrent cyst. The surgical team used three-dimensional reconstruction to model the liver mass, the area of abdominal wall weakness due to previous surgeries, bowel adhesions, skeletal structure and whole abdominal contour. The models were superimposed upon each other to reveal t
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Hina, Dr Saddaf, Ammar Alhasso, and Paraskeve Granitsiotis. "Women’s Preference for Cosmesis of Incisions Used for Open Versus Robotic Lower Urinary Tract Reconstructive Surgery." International Journal of Medical Science and Clinical Invention 8, no. 08 (2021): 5567–73. http://dx.doi.org/10.18535/ijmsci/v8i08.02.

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OBJECTIVE: To compare the cosmetic appeal of incisions used for open (Pfannenstiel or Vertical midline) versus robotic-assisted laparoscopic lower urinary tract reconstructive surgery in women.&#x0D; STUDY DESIGN: Cross-sectional descriptive study&#x0D; PLACE AND DURATION: Outpatient Urology Clinic of Western General Hospital, Edinburgh Scotland, UK from 1st February 2019 till 28th February 2020. &#x0D; METHODS: All patients were provided illustrations of Pfannenstiel incision (incision at “bikini line”- (A), Vertical midline laparotomy incision (incision from midline symphysis to umbilicus –(
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17

Sarmad Akram, Irfan Javed, Muhammad Irshad Hussain, et al. "Comparison between Scalpel Incision and Diathermy Incision in Elective Midline Abdominal Surgery." Indus Journal of Bioscience Research 3, no. 5 (2025): 608–12. https://doi.org/10.70749/ijbr.v3i5.972.

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Introduction: Midline abdominal surgeries also need an accurate approach toward appropriate incisions to ensure safer surgery and better results. The scalpel has been used in the past, but there is evidence showing that diathermy incisions have certain benefits, both in blood loss and incision time. This study compares the efficacy and safety of these two techniques. Objectives: The aim was to compare between scalpel and diathermy incisions in terms of incision time, intraoperative blood loss, postoperative pain, and wound healing in elective midline abdominal surgeries. Materials and Methods:
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18

Barbaros, Umut, Tugrul Demirel, Aziz Sumer, et al. "SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases." Diagnostic and Therapeutic Endoscopy 2011 (August 11, 2011): 1–3. http://dx.doi.org/10.1155/2011/387040.

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Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The pat
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Martin, Thomas J., William R. Kahn, and James C. Eisenach. "Abdominal Surgery Decreases Food-reinforced Operant Responding in Rats." Anesthesiology 103, no. 3 (2005): 629–37. http://dx.doi.org/10.1097/00000542-200509000-00028.

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Background Establishment of early oral nutrition after surgery is associated with a decrease in morbidity and mortality. The following studies were undertaken to determine how surgery influences food-reinforced behavior in rats and to determine the relevance of afferent input from the incision site on this behavior. Methods Rats were trained to press a lever for food pellets to assess the effects of various abdominal surgical manipulations. Operant requirements and food availability were also manipulated. The effects of wound infiltration with bupivacaine and denervation of the abdominal muscu
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Bajaj, Jitin, Anurag Pateriya, Dileep Singh Thakur, et al. "Whether Superficial Abdominal Reflex is Affected by Subcostal Transverse Abdominal Incisions? A Prospective, Observational Early Experience." Journal of Neurosciences in Rural Practice 08, no. 03 (2017): 431–33. http://dx.doi.org/10.4103/jnrp.jnrp_394_16.

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ABSTRACT Introduction: Superficial abdominal reflex (SAR) is an important part of the neurologic assessment. It is normally present and may be present or absent in various physiological as well as pathological conditions. The presence of an abdominal incision creates a dilemma in the mind of the clinician for it affecting this reflex. As there is no literature on this, we decided to study the effect of abdominal incisions on SAR. Materials and Methods: It was a prospective, observational study. We evaluated the patients requiring transverse subcostal incision (range 3–12 cm) both preoperativel
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Pop, Lucian, Nicolae Bacalbasa, Irina Balescu, Ioan D. Suciu, Roxana Elena Bohiltea, and Claudia Stoica. "Abdominal incisions in gynecology." Romanian Journal of Medical Practice 16, S7 (2021): 10–12. http://dx.doi.org/10.37897/rjmp.2021.s7.3.

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Wound infection post-surgery contributes extensively at the healthcare cost, translated not only by the direct care, but also for the medical leave that most patients request it. Every step is essential for achieving a successful surgery. A suitable incision is most helpful for both patient and surgeon alike. This review focuses on the multiple types of incisions used in gynecological field.
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Patil, Vaibhav B., Vidya D. Mule, Ravi M. Raval, and Abhishek A. Kulkarni. "Observational study of scalpel versus electrocautery for subcutaneous incision in elective gynaecological surgeries." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 3 (2017): 950. http://dx.doi.org/10.18203/2320-1770.ijrcog20170562.

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Background: Considering higher rate of postoperative wound complications in Government set up hospitals, this study was an attempt to compare incision time, incisional blood loss, hospital stay, post-operative pain and postoperative wound complications when subcutaneous tissue is opened with either scalpel or electrocautery in elective gynaecological surgeries after keeping all other clinical and surgical variables same i.e. age, BMI, haemoglobin, incision depth and hospital stay.Methods: This was a prospective observational comparative study conducted in one of the tertiary teaching hospital
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Heise, Daniel, Andreas Kroh, Roman Eickhoff, et al. "Incisional Hernia After Liver Transplantation: Analysis of Tailored Open Mesh Repair." International Surgery 104, no. 5-6 (2019): 226–31. http://dx.doi.org/10.9738/intsurg-d-17-00046.1.

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ObjectiveIncisional hernia is a frequent complication post liver transplantation (LT). The aim of this study was to compare divergent approaches to open abdominal wall repair post-LT.Summary of background dataAfter liver transplantation (LT) via Mercedes incision (MSI) we observed an incidence of incisional hernia between 5% and 34%. Conventional repair consists of reopening the whole incision and reinforcement of the whole fascia using a mesh plastic in sublay position. This retrospective analysis compares open mesh repair with complete reinforcement of the Mercedes incision and open mesh rep
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Nadeem, Muhammad Usman, Kiran Manzoor, Hira Nadeem, et al. "Comparison of Electrocautery and Scalpel Incision in Midline Abdominal Surgery." Journal of Health and Rehabilitation Research 3, no. 2 (2023): 682–86. http://dx.doi.org/10.61919/jhrr.v3i2.201.

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Background: With the advancement of surgical techniques, the comparison of electrocautery and scalpel incisions in midline abdominal surgeries has become an essential area of study. Traditional scalpel incisions have been known for their precision but carry risks of excessive blood loss and sharp injuries. Electrocautery, offering a potentially safer and more efficient alternative, has been gaining attention in surgical practices. Objective: The primary objective of this study was to compare the effectiveness, safety, and outcomes of electrocautery versus scalpel incisions in midline abdominal
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Wang, Edward, Leigh Archer, Amanda Foster, and Mohammed Ballal. "Large abdominal hernia repair with closed incision negative pressure therapy: a case series." Journal of Wound Care 30, no. 3 (2021): 192–96. http://dx.doi.org/10.12968/jowc.2021.30.3.192.

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Objective: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT. Method: A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were c
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Shivaji, Janardan Wadekar, and Ramchandra Chougule Sopan. "In Midline Abdominal Surgery, a Comparison of the Electrocautery and Scalpel Incision Methods." International Journal of Pharmaceutical and Clinical Research 16, no. 2 (2024): 214–19. https://doi.org/10.5281/zenodo.11064851.

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<strong>Background:&nbsp;</strong>The incision is a &ldquo;slit or cut&rdquo; that allows access to the supporting tissues. Traditionally, a stainless-steel scalpel is used to make cuts. It is expected that these incisions will hurt more and be more bloody. In a surgeon&rsquo;s toolkit, electrosurgical devices are among the most valuable and often utilized items. In medicine, the process of burning a body part to remove or close it is referred to as cauterization. In order to produce a surgical incision, burn and seal blood arteries, and remove undesirable or hazardous tissue, electrocauteriza
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Fan, Bao-Hang, Ke-Li Zhong, Li-Jin Zhu, Zhao Chen, Fang Li, and Wen-Fei Wu. "Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery." World Journal of Gastrointestinal Surgery 16, no. 3 (2024): 710–16. http://dx.doi.org/10.4240/wjgs.v16.i3.710.

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BACKGROUND Laparoscopic colorectal cancer surgery increases the risk of incisional hernia (IH) at the tumor extraction site. AIM To investigate the incidence of IH at extraction sites following laparoscopic colorectal cancer surgery and identify the risk factors for IH incidence. METHODS This study retrospectively analyzed the data of 1614 patients who underwent laparoscopic radical colorectal cancer surgery with tumor extraction through the abdominal wall at our center between January 2017 and December 2022. Differences in the incidence of postoperative IH at different extraction sites and th
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Gupta, Aditya, Ashutosh Kumar Pandey, Sriram Manchikanti, Neelamjingbha Sun, and Shivanesan Pitchai. "Comparison of Longitudinal and Transverse Transperitoneal Incisions in Abdominal Aortic Surgery: A Retrospective Analysis." Indian Journal of Vascular and Endovascular Surgery 11, no. 2 (2024): 92–95. http://dx.doi.org/10.4103/ijves.ijves_9_24.

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Abstract Objective: Patients with abdominal aortic aneurysm (AAA) may be treated with endovascular intervention or open surgical repair. Despite the possibility of a retroperitoneal approach for open surgery, many surgeons prefer a transperitoneal approach. Transperitoneal aortic exposure may be done by longitudinal or transverse incisions. Transverse incisions are thought to be less painful and have less perioperative complications as compared to longitudinal midline incisions, but the reports to this effect are not conclusive. To address the lack of data comparing perioperative outcomes in a
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Bhattarai, A., and R. S. Bhandari. "Incisional hernia repair." Journal of Institute of Medicine Nepal 32, no. 1 (2010): 34–37. http://dx.doi.org/10.59779/jiomnepal.489.

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Introduction: Incisional hernia is a late complication of any abdominal surgery, including both laparotomy and laparoscopic. It occurs at the site of previous incision through weak scar. Hernia occurs as a result of excessive tension and inadequate healing of previous incision which is often associated with surgical site infection or severe bouts of coughing in the early post operative period or injury to the nerve supplying the abdominal wall. This study was performed with objectives to review clinical profile and management of incisional hernia in Tribhuvan University Teaching Hospital (TUTH
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Bhamre, Sudhir Dnyandeo, and Nitin Devidas Pingale. "A Clinical Study of Incisional Hernia." MVP Journal of Medical Sciences 3, no. 1 (2016): 1. http://dx.doi.org/10.18311/mvpjms/2016/v3/i1/749.

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&lt;strong&gt;Background:&lt;/strong&gt; Incisional Hernias are common complication of andominal surgery. Depending on the risk factors Incisional Hernia can occure in 10 - 20 % of patients subjected to abdominal operations. &lt;strong&gt;Aims and Objective:&lt;/strong&gt; A clinical study on risk factors, clinical prentations, management and post oprattive complications in patient with Incisional Hernia. &lt;strong&gt;Setting:&lt;/strong&gt; Department of Surgery of a Tertiary Health Care Centre with an attached medical college. Material and Methods: A total of 43 patients of Incisional Herni
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Boughey, Judy C., and James M. Nottingham. "Massive Incisional Hernia of the Bowel and Urinary Bladder: A Case Report." American Surgeon 68, no. 10 (2002): 892–94. http://dx.doi.org/10.1177/000313480206801012.

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Abdominal hernias are not rare in women, but incisional bladder herniation is uncommon. Incisional hernias are an iatrogenic condition caused by protrusion of the abdominal viscera through the abdominal fascia. Omentum and small intestines are by far the most common viscera involved, and the condition is diagnosed on clinical examination either visually or by palpation of an abdominal bulge. We describe a case of bladder and bowel herniation through a lower transverse abdominal incision (Pfannenstiel), which followed emergent operative intervention for ectopic pregnancy.
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CLIBY, WILLIAM A. "Abdominal Incision Wound Breakdown." Clinical Obstetrics and Gynecology 45, no. 2 (2002): 507–17. http://dx.doi.org/10.1097/00003081-200206000-00021.

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Fagniez, Pierre-Louis. "Abdominal Midline Incision Closure." Archives of Surgery 120, no. 12 (1985): 1351. http://dx.doi.org/10.1001/archsurg.1985.01390360017004.

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GRAY, DAVID B. "Abdominal Midline Incision Closure." Archives of Surgery 122, no. 1 (1987): 120. http://dx.doi.org/10.1001/archsurg.1987.01400130126026.

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ABDULLAH, M. "Modified Technique for Closure of Midline Abdominal Incisions." Annals of King Edward Medical University 11, no. 2 (2021): 166–70. https://doi.org/10.21649/akemu.v11i2.4326.

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Background: Surgical minds are still in the search for ideal method of closure of laparotomy incision. Nonabsorable sutures have decreased the incidence of dehiscence and incisional hernia but cause suture sinuses, painful suture knots and button-hole defects. The present study describes a modified technique with polypropylene and evaluates its complication rate. Methods: This study is prospective analysis of 140 patients having undergone closure of midline laparotomy incisions using this technique during the period January 1999- December 2003. All the patients were followed for 12 months. Pri
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Fishel Bartal, Michal, Eric P. Bergh, Kuojen Tsao, et al. "Low Transverse versus Midline Abdominal Skin Incisions for in utero Spina Bifida Repair." Fetal Diagnosis and Therapy 48, no. 3 (2021): 174–82. http://dx.doi.org/10.1159/000512045.

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&lt;b&gt;&lt;i&gt;Objective:&lt;/i&gt;&lt;/b&gt; The 2 types of maternal skin incisions for in utero spina bifida repair are low transverse (LT) incision perceived to be cosmetic benefit and midline longitudinal (ML) incision, typically associated with a reduction in surgical time and lower blood loss. Our objective was to compare short- and long-term outcomes associated with these 2 types of skin incisions following in utero spina bifida repair. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Prospective observational cohort of 72 patients undergoing fetal spina bifida repair at a single insti
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Afroj, Roksana, Mohammad Salahuddin Faruque, Isteaq Ahmed Shameem, A. K. M. Khurshidul Alam, Md Golam Mowla Chowdhury, and Tohid Mohammad Saiful Hossain. "Outcome of Transurethral Incision Around the Ureteric Orifice to Remove the Bladder Cuff Versus Open Excision of Bladder Cuff in Patients Undergoing Nephroureterectomy for Upper Urinary Tract Transitional Cell Carcinoma." Bangladesh Journal of Urology 26, no. 2 (2023): 70–77. https://doi.org/10.3329/bju.v26i2.71185.

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Introduction: Radical nephroureterectomy with excision of ipsilateral bladder cuff is the gold standard treatment for high risk upper urinary tract transitional cell carcinoma. This procedure requires two incisions. However endoscopic detachment of distal ureter and bladder cuff by transurethral incision and removal of kidney requires single abdominal incision. Though the intention is to decrease morbidity by avoiding a second lower abdominal incision, argument exists regarding oncological outcome Methods: This Quasi-Experimental study was conducted from September, 2020 to August, 2022 in the
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Caruso, Riccardo, Yolanda Quijano, Camilla Farè, and Valentina Ferri. "First experience in Spain of large ventral hernia treated with botulinum toxin combined with robot-assisted transversus abdominis release (R-TAR) using the Hugo RAS system." BMJ Case Reports 18, no. 6 (2025): e264022. https://doi.org/10.1136/bcr-2024-264022.

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We present the first documented case in Spain of a large midline incisional hernia treated with botulinum toxin A (Botox A) in conjunction with robot-assisted transversus abdominis release utilising the Hugo robot-assisted surgery (RAS) by Medtronic (Minneapolis, MN, USA). The patient, a woman in her late 40s, was referred to our outpatient clinic due to two significant midline incisional hernias which were causing abdominal discomfort and constipation. Her medical history included a laparoscopic myomectomy that had been converted to open surgery, resulting in a sub-umbilical incision. This le
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Gupta, Arun Kumar, Tejinder Singh Dall, and Darpan Bansal. "A prospective study of diathermy versus scalpel skin incision in abdominal surgery." International Surgery Journal 6, no. 10 (2019): 3554. http://dx.doi.org/10.18203/2349-2902.isj20194174.

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Background: Various methods of skin incision have been identified in the recent past. Traditional skin incisions were made with stainless steel scalpel but recently electrocautery instruments like harmonic scalpel are also in use. With rise of seropositive cases, we aimed to evaluate whether the electrocautery can replace scalpel in operation theater, to avoid unfortunate injury to surgeons with scalpel. So we compared the usefulness of diathermy skin incision vs. scalpel skin incision in general surgical patients.Methods: This prospective study designed to include 120 patients admitted in the
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Igwe, P., A. Dodiyi-Manuel, and P. Wichendu. "A randomised control trial of intraoperative and early outcome in scalpel versus monopolar diathermy for midline abdominal incisions." South African Journal of Surgery 60, no. 3 (2022): 167–70. http://dx.doi.org/10.17159/2078-5151/sajs3642.

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BACKGROUND: Cutting diathermy is an alternative to scalpel for all layers of abdominal entry despite the perception that it impairs healing, increases infection risk and has worse cosmesis. This prospective, randomised, controlled trial was carried out to compare the intraoperative and early outcome in diathermy to scalpel for midline abdominal incisions in general surgery METHODS: The study was conducted from 1 October 2014 to 31 May 2016. Ethical approval was obtained. The incision time, wound size or area, and volume of blood loss were determined for each group of diathermy and scalpel. Res
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Nepali, Rohit, Santosh Upadhyaya Kafle, Tarun Pradhan, and Jiba Nath Dhamala. "Scar Endometriosis: A Rare Cause of Abdominal Pain." Dermatopathology 9, no. 2 (2022): 158–63. http://dx.doi.org/10.3390/dermatopathology9020020.

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Scar endometriosis or incisional endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-cesarean and post-hysterectomy is 0.03–0.4% and 1.08–2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and scar and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 31-year-old female
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Mayer, Horacio F., René M. Palacios Huatuco, Tatiana Ruffa, and Hernán A. Aguilar. "Abdominal wall reconstruction forextensive necrosis following abdominoplastyin a patient with subcostal scars – case report." Acta Chirurgiae Plasticae 65, no. 3-4 (2024): 155–59. http://dx.doi.org/10.48095/ccachp2023155.

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Abdominal wall defects encompass a broad spectrum of musculo-fasciocutaneous anomalies. We present case of a 42-year-old woman with a history of multimorbidity and bilateral subcostal scars. The patient underwent incisional ventral hernia repair and abdominoplasty performed by a general surgeon at another institution. However, she developed extensive necrosis of the cutaneous-fatty panniculus between the bilateral subcostal incisions and the abdominoplasty incision. The patient presented with a medial area of 50 × 60 cm with loss of soft tissue vitality and necrotic plaques. Tangential escharo
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Ishimoto, Yuki, Yuki Otsuki, Takashi Nuri, and Koichi Ueda. "Abdominal Wall Incisional Hernia Repair with the Anterior Component Separation Technique and Reinforcement with an Anterior Rectus Abdominis Sheath Flap." Plastic and Reconstructive Surgery - Global Open 11, no. 7 (2023): e5106. http://dx.doi.org/10.1097/gox.0000000000005106.

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Summary: Mesh repair is currently the mainstay of treatment for abdominal wall incisional hernias and is considered the standard of care. However, if radiotherapy is used, the possibility of complications such as exposure or infection of the prosthesis after the surgery as a complication of the radiotherapy is a concern. The patient was a 51-year-old woman who underwent laparotomy by a mid-abdominal incision for ovarian tumors. Approximately 2 years later, the patient presented with a hypertrophic scar of the wound and mild pain in the scar. The hypertrophic scar was improved gradually by cort
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Chae, Won-Seok, Soron Choi, Daisuke Sugiyama, George B. Richerson, Timothy J. Brennan, and Sinyoung Kang. "Effect of Thoracic Epidural Anesthesia in a Rat Model of Phrenic Motor Inhibition after Upper Abdominal Surgery." Anesthesiology 129, no. 4 (2018): 791–807. http://dx.doi.org/10.1097/aln.0000000000002331.

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Abstract Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background One important example of impaired motor function after surgery is diaphragmatic dysfunction after upper abdominal surgery. In this study, the authors directly recorded efferent phrenic nerve activity and determined the effect of the upper abdominal incision. The authors hypothesized that phrenic motor output would be decreased after the upper abdominal incision; it was also hypothesized that blocking sensory input from the incision using thoracic epidural anesthesia would dimin
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Turner, Raymond D., Steven M. Rosenblatt, Bipan Chand, and Mark G. Luciano. "Laparoscopic Peritoneal Catheter Placement: Results of a New Method in 111 Patients." Operative Neurosurgery 61, suppl_3 (2007): ONS—167—ONS—174. http://dx.doi.org/10.1227/01.neu.0000289730.27706.e6.

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Abstract Objective: Although cerebrospinal fluid shunting remains one of the most common neurosurgical procedures, it is fraught with high infection, blockage, and reoperation rates. It has been estimated that the economic cost of ventriculoperitoneal shunting exceeds $1 billion annually. A new laparoscopic technique that eliminates abdominal incisions overlying shunt hardware was applied to 111 patients requiring ventriculoperitoneal shunts in an effort to decrease the morbidity associated with shunting. Methods: All patients who required ventriculoperitoneal shunt insertion were eligible for
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Daware, Ankit, Murtaza Akhtar, and Bellary Mohammad Zaki. "Incisional hernia: predictive factors, clinical presentation and management." International Surgery Journal 6, no. 5 (2019): 1618. http://dx.doi.org/10.18203/2349-2902.isj20191880.

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Background: Incisional hernia is an iatrogenic complication of abdominal surgery and an important cause of morbidity. It occurs in 11-20% of the patients after abdominal surgery. The present study aimed to evaluate predictive factors associated with causation of incisional hernia, clinical presentation, modalities of management and their post-operative complications.Methods: In a hospital based observational study, the subjects were diagnosed cases of incisional hernias with or without comorbidities undergoing planned or emergency surgeries. Patients unfit for anaesthesia were excluded. Predic
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Gligorievski, Antonio, and Ana Lazarova. "Partial Liver Herniation Through the Incisional Defect on Anteriot Abdominal Wall." Macedonian Medical Review 70, no. 1 (2016): 47–51. http://dx.doi.org/10.1515/mmr-2016-0010.

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Abstract Introduction. Ventral hernias are quite common, but liver herniation is an extremely rare case. This type of abdominal protrusion of part of the liver usually occurs through incisional weak spots on the abdominal wall. Incisional herniation of the liver usually occurs 2 to 3 years after an abdominal operation consequently leading to focal weakness of the abdominal wall. Case report. We present an extremely rare case of incisional herniation of part of the left and smaller part of the right liver lobe in a woman aged 64 years, as a consequence of a previous open cholecystectomy, creati
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Huda, Farhanul, and Abhijit Kumar. "Incisional hernia: preliminary observations at a new institute." International Surgery Journal 4, no. 8 (2017): 2762. http://dx.doi.org/10.18203/2349-2902.isj20173414.

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Background: Ventral hernia develops when an area of the abdominal wall weakens and develops a tear or hole. It may develop as a defect at birth, resulting from incomplete closure of a part of the abdominal wall, or develop where an incision was made during an abdominal surgery, occurring when the incision doesn’t heal properly. Incisional hernia is typically observed within the first 5 years after the surgical incision is made, but may develop long afterwards.1 This study was undertaken to review the history and clinical presentations in patients with incisional hernia, and subsequent treatmen
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Karaalp, Erhan, Kadir Guzin, Gunes Gunduz, Selim Afsar, and Nurver Ozbay. "Abdominal wall incision scar endometriosis." Medical Journal of Goztepe Training and Research Hospital 26, no. 3 (2013): 140–42. http://dx.doi.org/10.5222/j.goztepetrh.2011.140.

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Cahalane, MichaelJ, MichaelE Shapiro, and William Silen. "ABDOMINAL INCISION: DECISION OR INDECISION?" Lancet 333, no. 8630 (1989): 146–48. http://dx.doi.org/10.1016/s0140-6736(89)91154-9.

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