Transverse Skin Crease versus Vertical Midline Incision versus Laparoscopy for Right Hemicolectomy: A Systematic Review—Current Status of Right Hemicolectomy

Abstract

Purpose. The right hemicolectomy may be conducted through laparoscopic or laparotomic surgery, transverse or midline incisions. The transverse laparotomy offers some advantages compared to the midline laparotomy and laparoscopy. A literature review was performed to evaluate the possible advantages of the transverse incision versus midline incision or laparoscopic right hemicolectomy. Methods. A systematic research was performed in Medline, Embase, Cochrane Central Register of Controlled Trials, CINAHL, BioMed Central, and the Science Citation Index. Results. Laparotomic right hemicolectomy with transverse incision is preferable to laparotomic hemicolectomy with midline incision. A transverse incision offers a lessened postoperative pain following physical activity, a lessened need to administer analgesic therapy during the post-operative time, better aesthetic results, and a better post-operative pulmonary function. Open surgery with transverse or midline incision ensured a shorter operative time, lower costs and a greater length of the incision compared to the laparoscopic. However, there are no differences in the oncological outcomes. Conclusions. It was not possible to identify significant differences between the open right hemicolectomy with transverse incision versus the open right hemicolectomy with midline incision or laparoscopic hemicolectomy.

Prevalence of surgical site infection and its associated factors after cesarean section in Ethiopia: systematic review and meta-analysis

“…Comparable finding was also reported from Nepal [52]. The potential reason may be that, having vertical skin incision is associated with involving more areas, delayed wound healing, higher risk of wound dehiscence, that will put the mothers for risk of developing SSI following the procedure [53,54].…”

Laparoscopic versus open transverse‐incision right hemicolectomy: a retrospective comparison study

“…Several authors have compared functional and oncological outcomes of laparoscopic right hemicolectomy to the open procedure; however, only a few studies have evaluated the transverse‐incision approach . Our data are similar to the results of the retrospective series by Lohsiriwat et al .…”

“…Laparoscopic versus transverse and midline right‐sided colectomy has also been retrospectively investigated by Tanis et al . and Lorenzon et al, and the issue was addressed in a systematic review by Santoro et al . Both Tanis and Lorenzon concluded that laparoscopic and transverse open right hemicolectomy are equivalent and have significant better short‐term outcomes compared to the midline open procedure.…”

“…Several authors have compared functional and oncological outcomes of laparoscopic right hemicolectomy to the open procedure; 4,5,11,[15][16][17][18][19][20][21][22][23][24] however, only a few studies have evaluated the transverse-incision approach. 4,5,11,23,24 Our data are similar to the results of the retrospective series by Lohsiriwat et al 4 , which compared open right hemicolectomy with transverse (n = 141) and vertical or midline (n = 104) incisions versus laparoscopic right hemicolectomy (n = 105). The data were rather heterogeneous and the authors could not identify significant differences between the three different surgical approaches for right hemicolectomy; hence, they concluded that the choice of the surgical approach should be based on surgeon's experience and preference as well as patient's characteristics.…”

Prevalence of surgical site infection and associated factors after cesarean section in Ethiopia: systematic review and meta-analysis

“…This finding was in line with study conducted in Nepal [45]. The potential reason may be having vertical skin incision is associated with involving more areas, delayed wound healing, higher risk of wound dehiscence, that will put the women for risk of developing SSI following the procedure [46,47].…”