Evidence map›Paper›PMID 30254878›Full record

ArticleGynecology and minimally invasive therapy

Higuchi's transverse incision and a modification of this method for minimally invasive surgery.

Aikou Okamoto, Yoko Nagayoshi, Ayako Kawabata, Masaru Sakamoto, Kazu Ueda

Open access · diamondAbstract read
In one paragraph

Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Aikou OkamotoDepartment of Obstetrics and Gynecology, Jikei University School of Medicine, Tokyo, Japan.
Yoko NagayoshiDepartment of Obstetrics and Gynecology, Jikei University School of Medicine, Tokyo, Japan.
Ayako KawabataDepartment of Obstetrics and Gynecology, Jikei University School of Medicine, Tokyo, Japan.
Masaru SakamotoDepartment of Gynecology, Sasaki Foundation Kyoundo Hospital, Tokyo, Japan.
Kazu UedaDepartment of Obstetrics and Gynecology, Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JPSasaki Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo describe Higuchi's transverse incision and a modification of this method for reduced port surgery (RPS).

designDescriptive study.

settingUniversity hospital. PATIENTS: Those with ovarian cyst and uterine myoma.

interventionA platform is placed in the 2-3 cm Higuchi incision just above the pubis or on the pubis. Blunt dissection of the subcutaneous adipose tissue is performed. A T incision of the rectus abdominis fascia and a longitudinal incision of the peritoneum are performed. A LAP PROTECTOR and EZ access (Hakko Medical, Nagano, Japan) are used with the platform for single-incision laparoscopic surgery. The peritoneum and fascia are closed by continuous suture, and the skin is closed using the dermostitch technique. MAIN

resultsHiguchi's transverse incision is 2-3 cm in length and is made at a much lower position than the conventional Pfannenstiel transverse incision. The wound is covered by pubic hair, yielding an excellent esthetic outcome. The T incision of the rectus abdominis fascia secures a more extensive surgical field than the Pfannenstiel transverse incision.

conclusionHiguchi's modified transverse incision ensures a sufficient visual field, yields an excellent esthetic outcome, and is safe, suggesting the potential use of this method for RPS.

Indexed as

Higuchi’s transverse incisionreduced port surgerysingle-incision laparoscopic surgery

Identifiers

PMID30254878
PMCPMC6113972
OpenAlexW2578557514

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.