Whether a midline or transverse incision is used in abdominal surgery depends mainly on the disease, anatomy and potential effects on wound healing, pain and postoperative complications.

A response to Seiler et al: Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial (INSECT: ISRCTN24023541).

Alternatively, the operation can be performed through a single midline incision, although exposure to the kidney is limited (particularly for left-sided masses). The indications for laparoscopic ...