Bajaj Jitin, Pateriya Anurag, Thakur Dileep Singh, Ratre Shailendra, Parihar Vijay, Somashekar Uday, Yadav Yad Ram, Sharma Dhananjaya
Department of Neurosurgery, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India.
Department of Surgery, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India.
J Neurosci Rural Pract. 2017 Jul-Sep;8(3):431-433. doi: 10.4103/jnrp.jnrp_394_16.
Superficial abdominal reflex (SAR) is an important part of the neurologic assessment. It is normally present and may be present or absent in various physiological as well as pathological conditions. The presence of an abdominal incision creates a dilemma in the mind of the clinician for it affecting this reflex. As there is no literature on this, we decided to study the effect of abdominal incisions on SAR.
It was a prospective, observational study. We evaluated the patients requiring transverse subcostal incision (range 3-12 cm) both preoperatively and postoperatively, for their abdominal reflexes. Patients with preoperative normal and symmetrical abdominal reflexes were included in the study. Postoperatively, we compared the change of SAR with the preoperative status and analyzed the data.
A total of 94 patients underwent surgeries, out of which 54 patients came under inclusion criteria, comprising 36 males and 18 females. Subcostal transverse abdominal incisions were made for surgeries including both gastrointestinal and ventriculoperitoneal shunts. SAR was found unaffected by the incisions in all patients.
Although the study was small, subcostal transverse abdominal incisions were not found to affect SAR.
腹壁浅反射（SAR）是神经学评估的重要组成部分。它在正常情况下存在，在各种生理和病理状况下可能存在或缺失。腹部切口的存在给临床医生带来了困扰，因为它会影响这种反射。由于对此尚无相关文献，我们决定研究腹部切口对腹壁浅反射的影响。
这是一项前瞻性观察性研究。我们对需要进行肋下横切口（长度范围为3 - 12厘米）的患者在术前和术后评估其腹壁反射。术前腹壁反射正常且对称的患者被纳入研究。术后，我们将腹壁浅反射的变化与术前状态进行比较并分析数据。
共有94例患者接受手术，其中54例符合纳入标准，包括36例男性和18例女性。进行肋下横切口手术的包括胃肠手术和脑室腹腔分流术。发现所有患者的腹壁浅反射均未受切口影响。
尽管本研究规模较小，但未发现肋下横切口会影响腹壁浅反射。
