PMID: 9525021Apr 3, 1998Paper

Avoiding muscle cutting while extending McBurney's incision: a new surgical concept

Surgery Today
M M Moneer

Abstract

Extending a McBurney's muscle-splitting incision, to achieve a better exposure when performing a difficult appendectomy, by muscle cutting may be associated with an increase in patient morbidity. In a retrospective study we Verified two actual indications that call for wound extension. The first is to correct a malpositioned first incision that does not match an existing anatomical variation in the region of the appendix. The second is to achieve a wide surgical space to deal with complicated cases. For each of these two indications, we thus introduced a new technique that fulfills the real requirement without muscle cutting. For the first indication we used a double muscle-splitting incision, while for the second indication we combined the original muscle-splitting incision with a vertical incision of the posterior lamina of the anterior rectus sheath. The two techniques are herein presented and the results of their application in 126 cases are discussed.

Citations

Apr 24, 2007·International Journal of Surgery·R T SebastianV J Sebastian
Sep 21, 2006·AJR. American Journal of Roentgenology·Aytekin OtoGregory Chaljub
Jun 29, 1999·Surgery Today·J E Losanoff, K T Kjossev

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