SUPRAUMBILICAL UPPER ABDOMINAL MIDLINE INCISION FOR PELVIC SURGERY IN THE MORBIDLY OBESE PATIENT
An upper abdominal midline incision was used for pelvic surgery in 16 morbidly obese patients (229-401 lb). When this approach is used, a Bookwalter retractor displaces the incision inferiorly and compresses the abdominal wall over the pelvis, and is then secured to the operating-room table. This ap...
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Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1990-09, Vol.76 (3), p.471-473 |
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creator | Greer, Benjamin E Cain, Joanna M Figge, David C Shy, Kirkwood K Tamimi, Hisham K |
description | An upper abdominal midline incision was used for pelvic surgery in 16 morbidly obese patients (229-401 lb). When this approach is used, a Bookwalter retractor displaces the incision inferiorly and compresses the abdominal wall over the pelvis, and is then secured to the operating-room table. This approach provides adequate exposure of the pelvic organs and avoids an incision in the panniculus with its associated complications. No wound infections, postoperative dehiscences, or other serious postoperative morbidity occurred in these patients. |
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When this approach is used, a Bookwalter retractor displaces the incision inferiorly and compresses the abdominal wall over the pelvis, and is then secured to the operating-room table. This approach provides adequate exposure of the pelvic organs and avoids an incision in the panniculus with its associated complications. No wound infections, postoperative dehiscences, or other serious postoperative morbidity occurred in these patients.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 2143276</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Abdominal Muscles - anatomy & histology ; Abdominal Muscles - surgery ; Biological and medical sciences ; Female ; Humans ; Medical sciences ; Obesity, Morbid ; Pelvis - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Surgical Equipment</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1990-09, Vol.76 (3), p.471-473</ispartof><rights>1990 The American College of Obstetricians and Gynecologists</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19248945$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2143276$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greer, Benjamin E</creatorcontrib><creatorcontrib>Cain, Joanna M</creatorcontrib><creatorcontrib>Figge, David C</creatorcontrib><creatorcontrib>Shy, Kirkwood K</creatorcontrib><creatorcontrib>Tamimi, Hisham K</creatorcontrib><title>SUPRAUMBILICAL UPPER ABDOMINAL MIDLINE INCISION FOR PELVIC SURGERY IN THE MORBIDLY OBESE PATIENT</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>An upper abdominal midline incision was used for pelvic surgery in 16 morbidly obese patients (229-401 lb). When this approach is used, a Bookwalter retractor displaces the incision inferiorly and compresses the abdominal wall over the pelvis, and is then secured to the operating-room table. This approach provides adequate exposure of the pelvic organs and avoids an incision in the panniculus with its associated complications. No wound infections, postoperative dehiscences, or other serious postoperative morbidity occurred in these patients.</description><subject>Abdominal Muscles - anatomy & histology</subject><subject>Abdominal Muscles - surgery</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Obesity, Morbid</subject><subject>Pelvis - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Surgical Equipment</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNtKxDAQhosouh4eQciN3hVyatpc7iGrgZ7obkWvapqkuNo92Owivr0RF2GGYfg-ZuA_CUYoiUmICXk-DUYQYh7GCaUXwaVz7xBCxDg5D84xogTHbBS8LuqyGtfZRKZyOk5BXZaiAuPJrMhk7vdMzlKZCyDzqVzIIgfzogKlSJ_kFCzq6kFUL56B5aMAWVFNvP0CiolYCFCOl1Lky-vgrFO9szfHeRXUc7GcPoZp8fD7MdzhBKGw07E1LTOY6i5hkUEqskYZjoyGbdcipjVSpIviyFJtjOow4zEjtLWadYok5Cq4_7u7G7afB-v2zXrltO17tbHbg2tizglChHrx9ige2rU1zW5YrdXw3Rwj8fzuyJXTqu8GtdEr968hjmnCaeQ9-ud9bfu9HdxHf_iyQ_NmVb9_a3zUkOEIhohzCH3B0DdB5AeDrHNa</recordid><startdate>199009</startdate><enddate>199009</enddate><creator>Greer, Benjamin E</creator><creator>Cain, Joanna M</creator><creator>Figge, David C</creator><creator>Shy, Kirkwood K</creator><creator>Tamimi, Hisham K</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><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>199009</creationdate><title>SUPRAUMBILICAL UPPER ABDOMINAL MIDLINE INCISION FOR PELVIC SURGERY IN THE MORBIDLY OBESE PATIENT</title><author>Greer, Benjamin E ; Cain, Joanna M ; Figge, David C ; Shy, Kirkwood K ; Tamimi, Hisham K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2811-fc7edb6d24cf865d1a5edad91dc0bfb16cc1a3f575e4cddaf2697634bec6fa383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Abdominal Muscles - anatomy & histology</topic><topic>Abdominal Muscles - surgery</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Obesity, Morbid</topic><topic>Pelvis - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Surgical Equipment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greer, Benjamin E</creatorcontrib><creatorcontrib>Cain, Joanna M</creatorcontrib><creatorcontrib>Figge, David C</creatorcontrib><creatorcontrib>Shy, Kirkwood K</creatorcontrib><creatorcontrib>Tamimi, Hisham K</creatorcontrib><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>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greer, Benjamin E</au><au>Cain, Joanna M</au><au>Figge, David C</au><au>Shy, Kirkwood K</au><au>Tamimi, Hisham K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SUPRAUMBILICAL UPPER ABDOMINAL MIDLINE INCISION FOR PELVIC SURGERY IN THE MORBIDLY OBESE PATIENT</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1990-09</date><risdate>1990</risdate><volume>76</volume><issue>3</issue><spage>471</spage><epage>473</epage><pages>471-473</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>An upper abdominal midline incision was used for pelvic surgery in 16 morbidly obese patients (229-401 lb). When this approach is used, a Bookwalter retractor displaces the incision inferiorly and compresses the abdominal wall over the pelvis, and is then secured to the operating-room table. This approach provides adequate exposure of the pelvic organs and avoids an incision in the panniculus with its associated complications. No wound infections, postoperative dehiscences, or other serious postoperative morbidity occurred in these patients.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>2143276</pmid><tpages>3</tpages></addata></record> |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Abdominal Muscles - anatomy & histology Abdominal Muscles - surgery Biological and medical sciences Female Humans Medical sciences Obesity, Morbid Pelvis - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Surgical Equipment |
title | SUPRAUMBILICAL UPPER ABDOMINAL MIDLINE INCISION FOR PELVIC SURGERY IN THE MORBIDLY OBESE PATIENT |
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