PMID: 6988034Mar 1, 1980Paper

Midline or transverse laparotomy? A random controlled clinical trial. Part II: Influence on postoperative pulmonary complications

The British Journal of Surgery
M J GreenallA V Pollock

Abstract

In a series of 579 patients undergoing major laparotomy, the direction of incision (midline or transverse/oblique muscle-cutting) was decided randomly. The severity of postoperative pulmonary complications was expressed by a scoring system which allowed categorization into mild (score 0-3), moderate (score 4-6) and serious (score 7 or more) complications. The important determinants of high scores were found to be male sex, preoperative pulmonary dysfunction, postoperative ventilatory depression, hypovolaemic and septic shock, inhalation of gastric contents and embolism. In no stratum did the direction of incision have any significant effect.

References

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Citations

Mar 5, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A HalmJ Jeekel
Jan 1, 1996·Annales Françaises D'anesthèsie Et De Rèanimation·S Rezaiguia, C Jayr
Jan 21, 1989·Lancet·M J CahalaneW Silen
Jun 1, 1981·Postgraduate Medical Journal·H Ellis
Dec 13, 2006·American Journal of Surgery·Hyong KimDaniel Vargo
Oct 10, 2003·The Surgical Clinics of North America·Keith W Millikan
Mar 27, 2001·The Journal of Surgical Research·H AxerA Prescher
Jun 7, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P G LindgrenL Hultén
Jul 1, 1990·The British Journal of Surgery·P J Armstrong, R W Burgess
Dec 1, 1988·The British Journal of Surgery·K R PoskittC N McCollum
May 1, 1994·The British Journal of Surgery·R M Charnley
Feb 14, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N KatkhoudaJ Lipham
Feb 20, 2007·ANZ Journal of Surgery·Fikret KanatMurat Golcuk
Oct 20, 2005·The Cochrane Database of Systematic Reviews·S R Brown, P B Goodfellow
Sep 25, 2021·Langenbeck's Archives of Surgery·Giovanni MarchegianiRoberto Salvia

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