Midline Vs Transverse Incisions for Hemi and Segmental Colectomies

Abstract

Background: The choice of incision in abdominal surgery is crucial for patient outcomes, especially in procedures like hemi and segmental colectomies. Midline and transverse incisions are two common approaches for these surgeries, each with distinct advantages and challenges. The aim of this study is to compare the outcomes associated with midline versus transverse incisions in terms of complication rates, recovery time, and overall patient outcomes.

Methods: A retrospective analysis was conducted on 100 patients undergoing either hemi or segmental colectomy between 2012 and 2015. Fifty patients underwent surgery with a midline incision, while 50 had a transverse incision. Key outcomes measured included surgery duration, complication rates (including wound infection, ileus, and dehiscence), and length of hospital stay.

Results: The study found that while both incision types had similar surgery durations, patients with transverse incisions had significantly lower complication rates, including wound infections and postoperative ileus. Recovery times were also faster in the transverse incision group, with shorter hospital stays observed.

Conclusion: Transverse incisions offer advantages over midline incisions in terms of reduced complications and faster recovery for patients undergoing hemi and segmental colectomies. However, the choice of incision type should depend on individual patient factors and the complexity of the procedure.

Keywords: Midline incision, Transverse incision, Hemi colectomy, Segmental colectomy, Surgical outcomes, Wound infection, Postoperative recovery.