{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T12:38:59Z","timestamp":1760099939924},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[1980,3,1]],"date-time":"1980-03-01T00:00:00Z","timestamp":320716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Yorkshire Regional Health Authority"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1980,3,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>In a series of 579 patients undergoing major laparotomy, the direction of incision (midline or transverse\/oblique muscle-cutting) was decided randomly. The severity of postoperative pulmonary complications was expressed by a scoring system which allowed categorization into mild (score 0\u20133), moderate (score 4\u20136) and serious (score 7 or more) complications.<\/jats:p>\n               <jats:p>The important determinants of high scores were found to be male sex, preoperative pulmonary dysfunction, postoperative ventilatory depression, hypovolaemic and septic shock, inhalation of gastric contents and embolism. In no stratum did the direction of incision have any significant effect.<\/jats:p>","DOI":"10.1002\/bjs.1800670309","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T18:55:03Z","timestamp":1172861703000},"page":"191-194","source":"Crossref","is-referenced-by-count":33,"title":["Midline or transverse laparotomy? A random controlled clinical trial. Part II: Influence on postoperative pulmonary complications"],"prefix":"10.1093","volume":"67","author":[{"given":"M J","family":"Greenall","sequence":"first","affiliation":[{"name":"Scarborough Hospital , Scarborough, North Yorkshire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Evans","sequence":"additional","affiliation":[{"name":"Scarborough Hospital , Scarborough, North Yorkshire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A V","family":"Pollock","sequence":"additional","affiliation":[{"name":"Scarborough Hospital , Scarborough, North Yorkshire"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1980,3,1]]},"reference":[{"key":"2024092711265390300_bib1","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1097\/00000658-197506000-00012","article-title":"Choice of abdominal operative incision in the obese patient: a study using blood gas measurements","volume":"181","author":"Vaughan","year":"1975","journal-title":"Ann. 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