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jsmc-10063


NECESSARY INCISION IN UPPER ABDOMINAL SURGERY FEASIBILITY AND OUTCOME


Kalander H. Abdulkarem *, Faruk H. Faraj ** and Khalid M. Abdullah ***


*    Sulaimani Surgical Teaching Hospital, Sulaimani.
**  Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.
*** Department of Surgery, Shar Teaching Hospital, Sulaimani.


Submitted: 19/12/2013; Accepted: 24/6/2014


ABSTRACT


Background

Minilaparotomy could offer the patient a less invasive surgical approach when compared to the standardlaparotomy; it fulfills the criteria of a minimally invasive surgery involving a very small abdominal incision. The natural progression of minimal invasive surgeries is to perform the same large-scale technical operation
with minimal or no evidence of scaring. Between laparotomy and laparoscopy another possible alternative is mini-laparotomy, which serves as an interesting option due to the size and benefit of the small incisions.

Objective

The Aim of our study was to assess the feasibility of performing a major upper abdominal operation through
a small incision less than 6 cm in length and recording the outcomes of the procedures.

Methods

This is a prospective study carried out in Sulaymaniyah teaching hospital from October 2010 to October 2012. The study includes thirty-one patients for whom various upper abdominal surgeries were performed.The operations were categorized in to four main groups; (Upper Gastrointestinal, Hepatobiliary, Spleen and combined surgical procedures). Data were collected regarding demographic aspects of each patient. After the procedures the patients were monitored for any local complications related to the incision. Shortly before discharge wound inspection was preformed, information regarding length of incision, duration of hospital stay
and wound related complications were recorded.

Results

Of the thirty-one patients, 51.6 % were male and 48.4 % female, the age ranged from 6 months to 85 years, with a mean age of 38.47. The mean incision length was 4.30 cm, ranging from 2 -9 cm, with a mean hospital stay of 42.58 hours (1.77 days). There were no local complications related to the incision noted during the
period of observation.

Conclusion

Mini-laparotomy is a feasible approach for upper abdominal surgeries in different age groups as well as different operative procedures.

KEYWORDS

Necessary Incision, Mini-laparotomy, Small Incision, Upper Abdominal Surgery.