K B Jones1. 1. Surgery, LSU Medical Center, Shreveport, USA.
Abstract
BACKGROUND: Since 1979, this author has used exclusively a left subcostal incision for gastroplasty (GP) and Roux-en-Y gastric bypass (RYGBP), with complication rates better than published reports in the literature for midline incisions. METHODS AND RESULTS: From July 1979 through March 1997, 1798 primary GP and RYGBP procedures have been done through the left subcostal incision, in addition to 42 conversions of GP to RYGBP, for a total of 1840 new left subcostal incisions. Comparison with an earlier series revealed no significant changes in results: incision hernias three (0.16%), dehiscence four (0.2%), splenectomy three (0.16%). No splenectomies have been necessary since 1983. Various wound healing problems occurred rarely (2.2%). CONCLUSION: The author believes that the left subcostal incision should be the gold-standard of bariatric surgery open procedures.
BACKGROUND: Since 1979, this author has used exclusively a left subcostal incision for gastroplasty (GP) and Roux-en-Y gastric bypass (RYGBP), with complication rates better than published reports in the literature for midline incisions. METHODS AND RESULTS: From July 1979 through March 1997, 1798 primary GP and RYGBP procedures have been done through the left subcostal incision, in addition to 42 conversions of GP to RYGBP, for a total of 1840 new left subcostal incisions. Comparison with an earlier series revealed no significant changes in results: incision hernias three (0.16%), dehiscence four (0.2%), splenectomy three (0.16%). No splenectomies have been necessary since 1983. Various wound healing problems occurred rarely (2.2%). CONCLUSION: The author believes that the left subcostal incision should be the gold-standard of bariatric surgery open procedures.
Authors: Ulrich M Rieger; Markus Aschwanden; Dominik Schmid; Daniel F Kalbermatten; Gerhard Pierer; Martin Haug Journal: Obes Surg Date: 2007-01 Impact factor: 4.129
Authors: Ulrich M Rieger; Paolo Erba; Daniel F Kalbermatten; Dirk J Schaefer; Gerhard Pierer; Martin Haug Journal: Obes Surg Date: 2008-04-03 Impact factor: 4.129
Authors: Miguel A Carbajo; Enrique Luque-de-León; José M Jiménez; Javier Ortiz-de-Solórzano; Manuel Pérez-Miranda; María J Castro-Alija Journal: Obes Surg Date: 2017-05 Impact factor: 4.129