Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair
Background: The objective of this randomized trial was to evaluate the incidence of incisional hernia after transverse or vertical incisions for open aortic aneurysm repair. Methods: The study group comprised 69 patients who underwent elective aneurysm repair between November 1998 and November 2000...
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| Veröffentlicht in: | British journal of surgery 2005-10, Vol.92 (10), p.1208-1211 |
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| creator | Fassiadis, N. Roidl, M. Hennig, M. South, L. M. Andrews, S. M. |
| description | Background:
The objective of this randomized trial was to evaluate the incidence of incisional hernia after transverse or vertical incisions for open aortic aneurysm repair.
Methods:
The study group comprised 69 patients who underwent elective aneurysm repair between November 1998 and November 2000 (60 men, nine women; mean age 72·8 (range 56–95) years). Patients were randomized to a transverse (n = 32) or vertical (n = 37) incision for the procedure. Of the 42 patients who were still alive in February 2004, 37 (15 transverse, 22 vertical incisions) attended for review. Laparotomy scars were assessed both clinically and ultrasonographically by the same examiner, to look for incisional hernia.
Results:
Mean follow‐up was 4·4 years. A multivariable logistic regression analysis revealed that the type of incision was the only parameter that significantly influenced the rate of incisional hernia: six of 15 patients with a transverse laparotomy versus 20 of 22 with a vertical laparotomy (P = 0·010).
Conclusion:
The incidence of incisional hernia was high after aortic aneurysm repair, but was lower in patients who had a transverse incision. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Fewer incisional hernias after a transverse incision |
| doi_str_mv | 10.1002/bjs.5140 |
| format | Article |
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The objective of this randomized trial was to evaluate the incidence of incisional hernia after transverse or vertical incisions for open aortic aneurysm repair.
Methods:
The study group comprised 69 patients who underwent elective aneurysm repair between November 1998 and November 2000 (60 men, nine women; mean age 72·8 (range 56–95) years). Patients were randomized to a transverse (n = 32) or vertical (n = 37) incision for the procedure. Of the 42 patients who were still alive in February 2004, 37 (15 transverse, 22 vertical incisions) attended for review. Laparotomy scars were assessed both clinically and ultrasonographically by the same examiner, to look for incisional hernia.
Results:
Mean follow‐up was 4·4 years. A multivariable logistic regression analysis revealed that the type of incision was the only parameter that significantly influenced the rate of incisional hernia: six of 15 patients with a transverse laparotomy versus 20 of 22 with a vertical laparotomy (P = 0·010).
Conclusion:
The incidence of incisional hernia was high after aortic aneurysm repair, but was lower in patients who had a transverse incision. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Fewer incisional hernias after a transverse incision</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.5140</identifier><identifier>PMID: 16175532</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - surgery ; Biological and medical sciences ; Double-Blind Method ; Female ; General aspects ; Hernia, Ventral - etiology ; Humans ; Laparotomy - methods ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - etiology ; Risk Factors</subject><ispartof>British journal of surgery, 2005-10, Vol.92 (10), p.1208-1211</ispartof><rights>Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3880-15028ca53f8bfdd8efeaa65f86f3f60247ef21b26af8066af577243579ceed463</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.5140$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.5140$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17144434$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16175532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fassiadis, N.</creatorcontrib><creatorcontrib>Roidl, M.</creatorcontrib><creatorcontrib>Hennig, M.</creatorcontrib><creatorcontrib>South, L. M.</creatorcontrib><creatorcontrib>Andrews, S. M.</creatorcontrib><title>Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
The objective of this randomized trial was to evaluate the incidence of incisional hernia after transverse or vertical incisions for open aortic aneurysm repair.
Methods:
The study group comprised 69 patients who underwent elective aneurysm repair between November 1998 and November 2000 (60 men, nine women; mean age 72·8 (range 56–95) years). Patients were randomized to a transverse (n = 32) or vertical (n = 37) incision for the procedure. Of the 42 patients who were still alive in February 2004, 37 (15 transverse, 22 vertical incisions) attended for review. Laparotomy scars were assessed both clinically and ultrasonographically by the same examiner, to look for incisional hernia.
Results:
Mean follow‐up was 4·4 years. A multivariable logistic regression analysis revealed that the type of incision was the only parameter that significantly influenced the rate of incisional hernia: six of 15 patients with a transverse laparotomy versus 20 of 22 with a vertical laparotomy (P = 0·010).
Conclusion:
The incidence of incisional hernia was high after aortic aneurysm repair, but was lower in patients who had a transverse incision. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Fewer incisional hernias after a transverse incision</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Biological and medical sciences</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>General aspects</subject><subject>Hernia, Ventral - etiology</subject><subject>Humans</subject><subject>Laparotomy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Risk Factors</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0d1PFDEQAPCGaOBEEv4Csi_ytke_Wx71xFM8MApE3prZ3TYp7pftHrr89XS9w3uZSWZ-mXQ6CB0TPCcY07PiIc4F4XgPzQiTIqdE6ldohjFWOWGUHaA3MT5gTBgWdB8dEEmUEIzOUPkD2qpr_JOtsrL2rS-hzobgU-xc9mjD8K_ShVSENqZCtFkNPYRu6Joxc6kDxTShTQy6yWfQ2nUYY5MF24MPb9FrB3W0R9t8iO4-XdwuPuerb8svi_ervGRa45wITHUJgjlduKrS1lkAKZyWjjmJKVfWUVJQCU5jmaJQinIm1HlpbcUlO0Snm7l96H6vbRxM42Np6zq9p1tHI7WkgjCR4MkWrovGVqYPvoEwmpdvSeDdFkBM67u0eunjzinCOWc8uXzj_vjajrs-NtNZTDqLmc5iPlzeTHnnfRzs3_8ewi8jFVPC_LxeGr64wh-_f703mj0D78mPOw</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Fassiadis, N.</creator><creator>Roidl, M.</creator><creator>Hennig, M.</creator><creator>South, L. M.</creator><creator>Andrews, S. M.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair</title><author>Fassiadis, N. ; Roidl, M. ; Hennig, M. ; South, L. M. ; Andrews, S. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3880-15028ca53f8bfdd8efeaa65f86f3f60247ef21b26af8066af577243579ceed463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Biological and medical sciences</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>General aspects</topic><topic>Hernia, Ventral - etiology</topic><topic>Humans</topic><topic>Laparotomy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fassiadis, N.</creatorcontrib><creatorcontrib>Roidl, M.</creatorcontrib><creatorcontrib>Hennig, M.</creatorcontrib><creatorcontrib>South, L. M.</creatorcontrib><creatorcontrib>Andrews, S. M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fassiadis, N.</au><au>Roidl, M.</au><au>Hennig, M.</au><au>South, L. M.</au><au>Andrews, S. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2005-10</date><risdate>2005</risdate><volume>92</volume><issue>10</issue><spage>1208</spage><epage>1211</epage><pages>1208-1211</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
The objective of this randomized trial was to evaluate the incidence of incisional hernia after transverse or vertical incisions for open aortic aneurysm repair.
Methods:
The study group comprised 69 patients who underwent elective aneurysm repair between November 1998 and November 2000 (60 men, nine women; mean age 72·8 (range 56–95) years). Patients were randomized to a transverse (n = 32) or vertical (n = 37) incision for the procedure. Of the 42 patients who were still alive in February 2004, 37 (15 transverse, 22 vertical incisions) attended for review. Laparotomy scars were assessed both clinically and ultrasonographically by the same examiner, to look for incisional hernia.
Results:
Mean follow‐up was 4·4 years. A multivariable logistic regression analysis revealed that the type of incision was the only parameter that significantly influenced the rate of incisional hernia: six of 15 patients with a transverse laparotomy versus 20 of 22 with a vertical laparotomy (P = 0·010).
Conclusion:
The incidence of incisional hernia was high after aortic aneurysm repair, but was lower in patients who had a transverse incision. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Fewer incisional hernias after a transverse incision</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>16175532</pmid><doi>10.1002/bjs.5140</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - surgery Biological and medical sciences Double-Blind Method Female General aspects Hernia, Ventral - etiology Humans Laparotomy - methods Male Medical sciences Middle Aged Postoperative Complications - etiology Risk Factors |
| title | Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair |
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