Parameters affecting outcomes of transumbilical and periumbilical median incisions in ovarian cancer patients.

©Copyright 2023 by the Turkish-German Gynecological Education and Research Foundation. Journal of the Turkish-German Gynecological Association is published by Galenos Publishing House. Licensed under a Creative Commons Attribution-NonCommercial (CC BY-NC-ND) 4.0 International License. To the Editor, With a great deal of interest, we read the article entitled: “Comparison of transumbilical and periumbilical median incisions in ovarian cancer surgery” by Yumru Çeliksoy et al. (1). The authors identified no differences in women in terms of infections, deep surgical site infections, evisceration and incisional hernias when comparing the two groups in their retrospective study. Incisional hernia is a very common postoperative complication after midline incision. Recently, a retrospective study showed higher incisional hernia rates in patients with body mass index >25 kg/m2 undergoing transumbilical incision (2). Moreover, in the same study no difference was shown comparing the use of PDS® (Ethicon) or Vicryl® (Ethicon) sutures for the abdominal closure. We would like to ask the authors whether they identified any differences in infection or in hernia rates in obese, glycemic or diabetic patients. Furthermore, it would be of interest if the type of abdominal closure, such as PDS® or Vicryl® sutures, had an effect on the outcomes. Last but not least, we would like to enquire about the cosmetic result after periumbilical median incisions as asymmetry might be identified due to slewing of the scalpel blade (3). Once again, we would like to thank the authors for their excellent study. Christos Iavazzo1, Ioannis D. Gkegkes2,3, Panagiotis Peitsidis4,5, John Spiliotis6