Patients in this group were compared to the 37 patients with single-segment degenerative lumbar disease in the double incision group who received the Mast Quadrant-assisted minimally invasive modified TLIF with a double paramedian incision between June 2010 and February 2011 in Huashan Hospital, Fudan University.
Modified transforaminal lumbar interbody fusion with a double paramedian incision
Also, the risk of wound failure is more with midline incision than paramedian incision.
Also, the risk of wound failure is more with midline incision than paramedian incision. Simple investigations like HB, RBS, RFT, LFT, chest X-ray may help to detect predisposing factors.
In our study it was found the median age of patient was 48 years varying from 24-73 years for midline incision whereas it was 54 years varying from 26-69 years for paramedian incision
Abdomen was opened by infraumblical right paramedian incision
. Uterus was bulky, with rudimentary horn on right side which was connected to left horn of uterus through a fibrous band but non-communicating.
Incisions through which herniation occurred: 59% patients had previous surgeries through lower abdominal incisions, 13 patients with upper midline incision, 15 patients with right paramedian incision
, 5 with Mc Burneys, and 8 with left Paramedian incision
: The peritoneum, endoabdominal fascia, posterior layer of rectus sheath, the medial fibers of rectus abdominis muscle and anterior layer of rectus sheath were sutured as a single layer.
of Hg and slightly dehydrated; a very tender irreducible lump was found at the region of scar (right lower paramedian incision
) of previous appendicectomy operation; absent peristaltic sounds.