Comparison of wound complications in midline versus reverse L incisions in laparotomy surgeries

Abstract

Background: The selection of incisions for laparotomy depends on a number of factors such as the area that needs to explore, being emergency or elective (non-emergency), and ultimately, surgeon preference. This study aimed to compare the complications of surgical wound in two methods of midline and reverse L. incision in order to recognize the complications and benefits in any circumstances. Methods: This cross-sectional study was performed on 68 patients who underwent laparotomy in Alzahra hospital in Isfahan City, Iran, during the years 2015 and 2016. 34 patients were enrolled in midline incision group, and 34 patients underwent reverse L incision. During the study, the severity of postoperative pain, wound infection, incisional hernia, and dehiscence were compared. Findings: There was no significant difference between the two groups in terms of incisional hernia, wound infection, and dehiscence (P < 0.05 for all). Pain severity was similar in both groups, too. Conclusion: Due to the similarity of wound complications in the two groups, two different methods can be used in different conditions depending on need. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.