Abstract
Transverse abdominal wall incisions are favoured as part of enhanced recovery programmes. We explored the use of rectus-preserving extraction site incisions in laparoscopic right colectomy. The approach involved minimal anterior abdominal wall disruption with preservation of the rectus abdominis muscle: the rectus abdominis muscle extraction site (RAMES). In 15 patients, a RAMES was used electively in right colectomy for malignancy. The median wound length was 6 cms. There was no clinical or radiological evidence of incisional herniation in the 15 patients at 12-month and in the 12 survivors at 24-month follow-up. An anatomical dissection at specimen extraction site reduces early incisional herniation rates and should be of benefit in the longer term.
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We are grateful to Jan Sharp, our medical illustrator.
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Williams, G.L., Beaton, C., Codd, R. et al. Avoiding extraction site herniation after laparoscopic right colectomy. Tech Coloproctol 16, 385–388 (2012). https://doi.org/10.1007/s10151-012-0830-9
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DOI: https://doi.org/10.1007/s10151-012-0830-9