Guillou P J, Hall T J, Donaldson D R, Broughton A C, Brennan T G
Br J Surg. 1980 Jun;67(6):395-9. doi: 10.1002/bjs.1800670605.
A prospective randomized trial was carried out on 207 patients undergoing laparotomy using three different vertical abdominal incisions--midline, 'medial' paramedian incision and 'lateral' paramedian incision. The lateral paramedian incision is slightly more time-consuming to perform than the other two incisions but there is a statistically greater incidence of incisional hernia in midline and medial paramedian wounds than with the lateral paramedian incision. It is suggested that when a vertical abdominal incision is being considered the lateral paramedian should be the incision of choice.
对207例行剖腹手术的患者进行了一项前瞻性随机试验，采用三种不同的腹部垂直切口——正中切口、“内侧”旁正中切口和“外侧”旁正中切口。外侧旁正中切口的操作时间比其他两种切口略长，但与外侧旁正中切口相比，正中切口和内侧旁正中切口的切口疝发生率在统计学上更高。建议在考虑腹部垂直切口时，外侧旁正中切口应作为首选切口。
