Modified Makuuchi incision for major upper abdominal surgeries

• Authors: Narendra Pandit , Laligan Awale , Shailesh Adhikary , Jayant Kumar Banerjee , Sita Ghosh , Shrirang Kulkarni , Ramanathan Saranga Bharathi

Abstracts

EN

ackground: Numerous incisions are described for abdominal operations. However, opinion is divided regarding the correct choice of incision for major upper abdominal surgeries. Materials and methods: Experience of 3 surgical centres with the use of modified Makuuchi incision, for major upper abdominal surgeries, from Mar 2014–Dec 2018, was audited. Results: 144 patients (76 Males, 68 Females) with an average age of 48.25 years underwent surgery using modified Makuuchi incision. ’J’ and ‘L’ incisions were used in 96 and 48 patients, respectively. Further extension of the incision was necessary in 2 patients. Adequate exposure and enhanced surgical ergonomics was observed in all cases. Surgical site infection was seen in 19 patients (13.2%). Incisional hernias was observed in 6 patients (4.2%), on an average follow up of 27.78 months. Conclusions: Modified Makuuchi incision proves efficacious for major upper abdominal surgeries.

Keywords

EN

J/L incision; modified Makuuchi incision; upper abdominal surgery

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2019
• Volume: 91(6)
• Pages: 15-19

Dates

published

2019-10-21

Contributors

author

Narendra Pandit

author

Laligan Awale

author

Shailesh Adhikary

author

Jayant Kumar Banerjee

author

Sita Ghosh

author

Shrirang Kulkarni

author

Ramanathan Saranga Bharathi

Identifiers

DOI

10.5604/01.3001.0013.5382