Summary and Conclusions
Advantages of the transverse abdominal incision when employed in surgical procedures for lesions of the rectum and colon are: Excellent exposure; Diminished depth of the wound and easy access to the entire pelvis; Less postoperative discomfort; A stronger wound and lower incidence of dehiscence, evisceration and incisional herniation. Retention sutures, tight taping and abdominal binders are not required. Early ambulation and deep breathing are facilitated. There is a shorter period of convalescence and rehabilitation is possible earlier. The final result is a strong, narrow scar which is least displeasing cosmetically.
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References
Abel, A. L. and A. H. Hunt: Stainless steel wire for closing abdominal incisions and for repair of herniae. Brit. M. J.2: 379, 1948.
Bacon, H. E. and S. T. Ross: Atlas of Operative Technic: Anus, Rectum and Colon. St. Louis, C. V. Mosby Company, 1954, pp. 60–61.
Baudelocque, A.: Nouveau procede pour pratiquer l’operation Cesarienne. Theses, de L’Ecole de Medecine, Paris, 1923, p. 132.
Boechmann: Quoted by Rees, V. L. and F. A. Coller.
Cherney, L. S.: Modified transverse incision for low abdominal operations. Surg., Gynec. &-Obst.72: 92, 1941.
Cherney, L. S.: Transverse low abdominal incision with detachment of the recti from the pubis: Follow-up study of 800 cases. J.A.M.A.157: 23, 1955.
Jones, T. E.: Complications of one stage abdominoperineal resection of the rectum. J.A.M.A.120: 104, 1942.
Maylard, A. E.: Directions of abdominal incisions. Brit. M. J.2: 895, 1907.
Palumbo, L. T. and I. A. Katz: Transverse and oblique muscle-splitting abdominal incisions. Postgrad. Med.14: 503, 1953.
Pfannenstiel, J.: Quoted by Culp, O. W. and J. H. DeWeerd: Advantages of the Cherney incision for urologic operations. J. Urol.69: 445, 1953.
Rees, V. L. and F. A. Coller: Anatomic and clinical study of the transverse abdominal incision. Arch. Surg.47: 136, 1943.
Sachs, L.: Closure of the peritoneum in vertical upper abdominal incisions. Am. J. Surg.90: 673, 1955.
Sloan, G. A.: A new upper abdominal incision. Surg., Gynec. & Obst.45: 678, 1927.
Tenenblatt, W. and T. A. Cook: Transverse approach to lower abdomen: Introduction of anchor suture. Obst. & Gynec.3: 627, 1954.
Thompson, J. B., K. F. MacLean and F. A. Coller: Role of transverse abdominal incision and early ambulation in reduction of postoperative complications. Arch. Surg.59: 1267, 1949.
Trimpi, H. D. and H. E. Bacon: Postoperative dehiscence in incisions closed with stainless steel alloy wire. J. Internat. Coll. Surgeons15: 698, 1951.
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Read at the meeting of the American Proctologic Society, Los Angeles, California, June 29 to July 3, 1958.
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Trimpi, H.D. Transverse incision in abdominal surgery of the colon and rectum. Dis Colon Rectum 1, 339–344 (1958). https://doi.org/10.1007/BF02616661
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DOI: https://doi.org/10.1007/BF02616661