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Abstract
Introduction To evaluate and compare the results of the transverse incision (TI) and the vertical incision (VI) in postoperative morbidity, resectability, and satisfaction in patients with pelvic tumors suspected of malignancy.
Methods An open, non-randomized, prospective, and longitudinal clinical trial was carried out. Female patients treated at the morning and evening Pelvis clinic service of the Jalisciense Institute of Cancerology were included, with suspicion or confirmation of a malignant pelvic tumor, and were taken to a surgical procedure, in the period from November 1, 2017, to November 31, 2017. December 2018.
Results 41 patients, two groups, VI (n = 23) and those with a TI (n = 18). The results of surgical exposure, resectability, surgical times, morbidity, pain, and a questionnaire to assess patient satisfaction according to the aesthetic appearance of the incision made were compared. Patients with (VI) were older (p=0.000), weighed more (p= 0.011), and had a higher BMI (p= 0.000). No significant differences were found between the two groups in terms of surgical exposure, resectability, bleeding, surgical margins, number of pelvic or para-aortic nodes, postoperative complications, or pain. The level of satisfaction reported by the patient for the incision made was higher in the (IT) group (p= 0.000).
Conclusion/Implications Due to similar clinical results, the decision to perform a vertical or transverse incision should be made between the surgeon and the patient, taking into account the surgical procedure to be performed, the patient‘s characteristics, and the assessment of probable post-surgical complications.
