{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:08:04Z","timestamp":1792098484142,"version":"4.4.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":2495,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>A novel J-shaped incision for liver transplantation was introduced in attempt to reduce the wound-related complication rate while maintaining comparable access. Some 58 consecutive patients with the classic Mercedes incision were compared with the following 60 consecutive patients with a J-shaped incision. Nine of 60 patients (15%) with a J-shaped incision were converted to an extensive incision. The duration of surgery did not differ between both groups, and relaparotomy rates were comparable in both groups (45% versus 31%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.487) whereas the early wound-related morbidity was significantly reduced in the J-shaped incision group (3% versus 19%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.009), as well as incisional hernia rate (7% versus 24%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002, corrected for different length of follow-up). Other factors such as previous surgery, ascites, abdominal drainage, retransplantation, and indications for transplantation did not differ between both groups and were not predictive of wound-related morbidity or incisional hernia. We therefore conclude that a J-shaped incision should be the incision of choice in liver transplantation. This new, seemingly minor modification reduces wound infections, fascial dehiscence, and incisional hernia. Liver Transpl 14:1655\u20131658, 2008. \u00a9 2008 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.21594","type":"journal-article","created":{"date-parts":[[2008,10,29]],"date-time":"2008-10-29T13:22:41Z","timestamp":1225286561000},"page":"1655-1658","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":47,"title":["A J-shaped subcostal incision reduces the incidence of abdominal wall complications in liver transplantation"],"prefix":"10.1097","volume":"14","author":[{"given":"Joos","family":"Heisterkamp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik A.","family":"Marsman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Eker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herold J.","family":"Metselaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo W.","family":"Tilanus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geert","family":"Kazemier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-18-20250326","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1399-0012.2007.00666.x","article-title":"Incisional hernia following liver transplantation: incidence and predisposing factors.","volume":"21","author":"Kahn","year":"2007","journal-title":"Clin Transplant"},{"key":"R2-18-20250326","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1007\/s00268-005-0183-x","article-title":"Optimal abdominal incision for partial hepatectomy: increased late complications with Mercedestype incisions compared to extended right subcostal incisions.","volume":"30","author":"DAngelica","year":"2006","journal-title":"World J Surg"},{"key":"R3-18-20250326","doi-asserted-by":"crossref","first-page":"3097","DOI":"10.1016\/j.transproceed.2004.10.047","article-title":"Incidence, predisposing factors, and results of surgical treatment of incisional hernia after orthotopic liver transplantation.","volume":"36","author":"Piazzese","year":"2004","journal-title":"Transplant Proc"},{"key":"R4-18-20250326","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/j.transproceed.2006.03.044","article-title":"Right subcostal incision in liver transplantation: prospective study of feasibility.","volume":"38","author":"Donataccio","year":"2006","journal-title":"Transplant Proc"},{"key":"R5-18-20250326","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s00423-003-0384-4","article-title":"Incisional hernia repair after orthotopic liver transplantation: a technique employing an inlayonlay polypropylene mesh.","volume":"388","author":"Muller","year":"2003","journal-title":"Langenbecks Arch Surg"},{"key":"R6-18-20250326","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0041-1345(02)03930-1","article-title":"Incisional hernia following orthotopic liver transplantation.","volume":"35","author":"Shi","year":"2003","journal-title":"Transplant Proc"},{"key":"R7-18-20250326","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1046\/j.1365-2168.2002.02165.x","article-title":"Causative factors, surgical treatment and outcome of incisional hernia after liver transplantation.","volume":"89","author":"Janssen","year":"2002","journal-title":"Br J Surg"},{"key":"R8-18-20250326","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s10029-001-0032-2","article-title":"Incidence and predisposing factors for incisional hernia in patients with liver transplantation.","volume":"5","author":"Gomez","year":"2001","journal-title":"Hernia"},{"key":"R9-18-20250326","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1136\/bmj.284.6320.931","article-title":"Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies.","volume":"284","author":"Bucknall","year":"1982","journal-title":"Br Med J (Clin Res Ed)"},{"key":"R10-18-20250326","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s002689900194","article-title":"Incisional hernia recurrence following vestoverpants or vertical Mayo repair of primary hernias of the midline.","volume":"21","author":"Luijendijk","year":"1997","journal-title":"World J Surg"},{"key":"R11-18-20250326","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1002\/bjs.1800740830","article-title":"Lateral paramedian incision.","volume":"74","author":"Brennan","year":"1987","journal-title":"Br J Surg"},{"key":"R12-18-20250326","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1002\/bjs.1800670308","article-title":"Midline or transverse laparotomy? 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