{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:41:29Z","timestamp":1791448889677,"version":"4.3.3"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:00:00Z","timestamp":1605571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A longitudinal or a transverse incision is routinely used for common femoral artery (CFA) exposure. Some believe a transverse incision is associated with a lower incidence of postoperative complications. We performed a systematic review and meta\u2010analysis to evaluate the risk of postoperative surgical site infection, lymphatic complications, wound dehiscence and haematoma formation when using a longitudinal or transverse incision for CFA exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis guidelines were adhered to. We searched various databases such as MEDLINE via PubMed and Embase for relevant studies from inception till 31 May 2020. Relevant search terms such as \u2018longitudinal\u2019, \u2018transverse\u2019, \u2018vertical\u2019, \u2018horizontal\u2019, \u2018femoral\u2019, \u2018incision\u2019 were used. We included both randomized controlled trials and case\u2010controlled studies, and extracted data related to study characteristics and postoperative complications. We assessed risk of bias using the Cochrane risk of bias tool and the Newcastle\u2010Ottawa scale. A random\u2010effects meta\u2010analysis was performed to obtain the pooled proportions and risk ratios (RR) for our study outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included seven studies with a total of 5922 groin incisions. A longitudinal incision was associated with a significantly higher incidence of wound infection (RR 2.93, 95% confidence interval (CI) 1.12\u20137.70,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.03) and wound dehiscence (RR 2.87, 95% CI 1.06\u20137.77,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.04). The risk of lymphatic complications (RR 1.09, 95% CI 0.39\u20133.05,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.87) and wound haematoma (RR 2.85, 95% CI 0.88\u20139.21,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.08) were similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A longitudinal incision may be associated with a higher incidence of wound infection and wound dehiscence, as compared to using a transverse incision for CFA exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.16448","type":"journal-article","created":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:46:09Z","timestamp":1605660369000},"page":"822-831","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Longitudinal versus transverse incision for common femoral artery exposure: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0779-8468","authenticated-orcid":false,"given":"Jun Jie","family":"Ng","sequence":"first","affiliation":[{"name":"SingVaSC Singapore Vascular Surgical Collaborative  Singapore"},{"name":"Department of Surgery Yong Loo Lin School of Medicine, National University of Singapore  Singapore"},{"name":"Division of Vascular and Endovascular Surgery National University Heart Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod K. H.","family":"Tan","sequence":"additional","affiliation":[{"name":"SingVaSC Singapore Vascular Surgical Collaborative  Singapore"},{"name":"Department of Surgery Yong Loo Lin School of Medicine, National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James W. K.","family":"Lee","sequence":"additional","affiliation":[{"name":"SingVaSC Singapore Vascular Surgical Collaborative  Singapore"},{"name":"Department of Surgery Yong Loo Lin School of Medicine, National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M. T. L.","family":"Choong","sequence":"additional","affiliation":[{"name":"SingVaSC Singapore Vascular Surgical Collaborative  Singapore"},{"name":"Department of Surgery Yong Loo Lin School of Medicine, National University of Singapore  Singapore"},{"name":"Division of Vascular and Endovascular Surgery National University Heart Centre  Singapore"},{"name":"Cardiovascular Research Institute National University Health System  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197209000-00008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02015271"},{"key":"e_1_2_8_4_1","first-page":"112","article-title":"Vascular reconstruction at the groin: oblique or vertical incisions?","volume":"74","author":"Chester JF","year":"1992","journal-title":"Ann. R. Coll. Surg. 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