Cholecystectomy through a 5 cm subcostal incision

O’Dwyer, P. J.; Murphy, J. J.; O’Higgins, N.

doi:10.1002/bjs.1800771034

Cited by 53 publications

(26 citation statements)

References 9 publications

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“…Dubois and Berthelot described this operation in 1982 (8) and other reports have appeared in the literature since then (1,6,7). Since the view is restricted and the lighting is difficult to focus into the cut depths of the wound special instruments such as the illumi nated stabilizer, ring retractors (5), lighted retrac tor (6), special head lamps (6) and routine use of insulated forceps have been described.…”

Section: Discussionmentioning

confidence: 97%

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Minilap cholecystectomy - its place in the new millenium

Wijeyaratne¹,

Rajamanthri²,

Sheriffdeen³

et al. 2002

Cey. J. Med. Sci.

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Section: Discussionmentioning

confidence: 97%

“…Open Cholecystectomy (OC) was first performed in 1882 by Carl Langenbuch using a T shaped incision the horizonal line made parallel to the liver margin (1). Since then several incisions for cholecystectomy have been described including the subcostal, midline and paramedian incisions (2).…”

Section: Introductionmentioning

confidence: 99%

Minilap cholecystectomy - its place in the new millenium

Wijeyaratne¹,

Rajamanthri²,

Sheriffdeen³

et al. 2002

Cey. J. Med. Sci.

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“…5 b) Analgesic doses taken by the patient: Group 1 patients because of less pain took less number of analgesic doses as compared to group group 2 patients (Table 5). Goco et al, 6 Reddick et al, 7 and O'Dwyer et al, 8 in their separate studies had reported mean postoperative analgesic doses in each patient as 1, 2 and 4. Baguley.…”

Section: Age (In Yrs)mentioning

confidence: 98%

Comparative Analysis of Muscle Splitting Versus Muscle Dividing Incision in Open Cholecystectomy

Singla¹,

Singla²,

Singla³

et al. 2015

jemds

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Many incision have been advocated and used for open cholecystectomy. It is the muscle division which is supposed to be responsible for postoperative pain and the resultant local and systemic effects. This study was undertaken at BPSGMC for woman at Khanpurkalan to know whether muscle splitting technique for open cholecystectomy affects postoperative pain, discomfort and encourages early mobilization with reduction in hospital stay compared with traditional rectus muscle dividing open cholecystectomy. About one hundred female patients were randomly divided into two groups and observations were noted. Pain measurement was done by simple pain, sedation and nausea scoring system as given by Dr. Ann Coleman. The day on which patient became mobile and were fit for discharge were noted in both groups. It was found in this study that the muscle splitting incision is superior to muscle dividing incision in term of less pain, early mobility, less physiological alteration, decreased morbidity and hospital stay.

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“…A less used alternative is the performance of the surgery through a small incision of less than 5 em long in the subcostal area. This procedure has been done earlier by different authors, but the procedure is not popular as yet [3]. This could be due to inadequate visualisation deep inside and difficulty of ligating the cystic duct and artery.…”

Section: Introductionmentioning

confidence: 99%