title: Avoiding muscle cutting while extending McBurney's incision: a new surgical concept.
abstract: Extending a McBurney's muscle-splitting incision, to achieve a better exposure when performing a difficult appendectomy, by muscle cutting may be associated with an increase in patient morbidity. In a retrospective study we Verified two actual indications that call for wound extension. The first is to correct a malpositioned first incision that does not match an existing anatomical variation in the region of the appendix. The second is to achieve a wide surgical space to deal with complicated cases. For each of these two indications, we thus introduced a new technique that fulfills the real requirement without muscle cutting. For the first indication we used a double muscle-splitting incision, while for the second indication we combined the original muscle-splitting incision with a vertical incision of the posterior lamina of the anterior rectus sheath. The two techniques are herein presented and the results of their application in 126 cases are discussed.
authors.affiliation: Department of Surgery, Mataria Teaching Hospital, Cairo, Egypt.
authors.forename: M M
authors.initials: MM
authors.lastname: Moneer
mesh_terms: D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D011446:Prospective Studies; D012189:Retrospective Studies