2122 WHAT IS THE MOST PREFERRED WOUND SITE FOR LAPAROSCOPIC DONOR NEPHRECTOMY?: A QUESTIONNAIRE ASSESSMENT

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation, Renal Vascular Surgery1 Apr 20132122 WHAT IS THE MOST PREFERRED WOUND SITE FOR LAPAROSCOPIC DONOR NEPHRECTOMY?: A QUESTIONNAIRE ASSESSMENT Mitsuru Saito, Norihiko Tsuchiya, Shigeru Satoh, Kazuyuki Numakura, Hiroshi Tsuruta, Susumu Akihama, Shintaro Narita, Takamitsu Inoue, and Tomonori Habuchi Mitsuru SaitoMitsuru Saito Akita, Japan More articles by this author , Norihiko TsuchiyaNorihiko Tsuchiya Akita, Japan More articles by this author , Shigeru SatohShigeru Satoh Akita, Japan More articles by this author , Kazuyuki NumakuraKazuyuki Numakura Akita, Japan More articles by this author , Hiroshi TsurutaHiroshi Tsuruta Akita, Japan More articles by this author , Susumu AkihamaSusumu Akihama Akita, Japan More articles by this author , Shintaro NaritaShintaro Narita Akita, Japan More articles by this author , Takamitsu InoueTakamitsu Inoue Akita, Japan More articles by this author , and Tomonori HabuchiTomonori Habuchi Akita, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2031AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Although specimen extraction site selection for laparoscopic donor nephrectomy (LDN) is relatively flexible and is mostly selected by surgeons from the patient's standpoint, the patient's request may differ from the medical worker's recommendation. The cosmetic aspect may also differ with age, gender, and the extent of medical knowledge. We performed an unsigned questionnaire assessment of individual preferences for LDN wound sites. METHODS Between August 2007 and October 2008, we surveyed LDN wound site preferences among 148 physicians, 263 nurses, and 266 outpatients of urology at Akita University Hospital. The subjects were aged between 18 and 75 years (mean 43.0 +/− 16.5). They were questioned for their age, gender, occupation (medical worker or not), and for the most preferred surgical wound site among the following: A, lower vertical midline incision: B, upper vertical midline incision: C, anterior subcostal incision: D, Pfannenstiel incision: E, Gibson incision: and F, subcostal flank incision. The valid response rate was 93.5% (677/724). RESULTS Wound sites preferred (ranked in descending order) were F (subcostal flank incision; 48.3%), D (Pfannenstiel incision; 25.6%), E (Gibson incision; 10.5%), A (lower vertical midline incision; 9.0%), C (anterior subcostal incision; 5.2%), and B (upper vertical midline incision; 1.4%). The subcostal flank incision was the most preferred in almost all the categories. Second preferences were Pfannenstiel incisions in women and incisions on the lower abdomen in men. Overall, flank and lower abdominal incisions tended to be preferred, and mid and upper abdominal incisions tended to be avoided. Medical workers selected the subcostal flank and Pfannenstiel incisions more frequently than outpatients. With increasing age, the selection rates of the Gibson and the lower vertical midline incisions increased, whereas the subcostal flank and the Pfannenstiel incisions decreased. CONCLUSIONS The subcostal flank was the most preferred LDN sites. Age, gender, and the extent of medical knowledge may influence the individual preferences for LDN wound sites. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e869-e870 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mitsuru Saito Akita, Japan More articles by this author Norihiko Tsuchiya Akita, Japan More articles by this author Shigeru Satoh Akita, Japan More articles by this author Kazuyuki Numakura Akita, Japan More articles by this author Hiroshi Tsuruta Akita, Japan More articles by this author Susumu Akihama Akita, Japan More articles by this author Shintaro Narita Akita, Japan More articles by this author Takamitsu Inoue Akita, Japan More articles by this author Tomonori Habuchi Akita, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...