TY - JOUR
AU - South, L M
AB - Sir Patients with concomitant aneurysm disease of the iliac system were not included in our study but juxta-renal aneurysms were not excluded since the transverse incision offers adequate access for suprarenal clamping. The 30 day mortality was 9 per cent (precisely 8·7) and not 13 per cent as stated in the above letter. Furthermore the difference in late survival between the two groups was not statistically significant. In our experience a transverse approach facilitates a better exposure in the elderly rather than the young patient due to laxity of the tissues. The aetiology of incisional hernia after AAA repair is multifactorial, and includes underlying connective tissue disorder, surgical technique and type of incision. Other trials have shown that a transverse incision causes fewer postoperative pulmonary complications1 and better postoperative pain control after abdominal aortic surgery2. Whereas a transverse incision is now the standard for elective aortic surgery, a midline laparotomy remains the authors' approach of choice in patients with a ruptured aneurysm, where rapid exposure is required or when the aneurysm involves the iliac arteries, where the incision can be extended caudally. References 1 Becquemin JP , Piquet J, Becquemin MH, Melliere D, Harf A. Pulmonary function after transverse or midline incision in patients with obstructive pulmonary disease . Intens Care Med 1985 ; 11 : 247 – 251 . Google Scholar Crossref Search ADS WorldCat 2 Tekkis PP , Krysa J, Chan S, Challiner A, South LM, Andrews SM. Randomized prospective comparison of postoperative pain control and respiratory complications following midline or transverse laparotomy for aortic surgery . Br J Surg 2001 ; 88 : 598 – 622 . Google Scholar Crossref Search ADS WorldCat Copyright © 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) Copyright © 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
TI - Authors' reply: Randomized clinical trial of vertical or transverse laparotomy for abdominal aortic aneurysm repair (Br J Surg 2005; 92: 1208–1211)
JF - British Journal of Surgery
DO - 10.1002/bjs.5296
DA - 2006-01-01
UR - https://www.deepdyve.com/lp/oxford-university-press/authors-reply-randomized-clinical-trial-of-vertical-or-transverse-qKVBhugMBH
SP - 121
EP - 122
VL - 93
IS - 1
DP - DeepDyve
ER -