What type of incision is recommended to minimize the risk of wound infection during PEG placement?

The recommended incision type to minimize the risk of wound infection during Percutaneous Endoscopic Gastrostomy (PEG) placement is a transverse incision. Transverse incisions, when compared to other types, are generally associated with a lower risk of wound infection due to several factors.

First, transverse incisions tend to create less tissue trauma and preserve blood supply to the area surrounding the incision. This is crucial for effective healing and minimizing the risk of infection, as well-vascularized tissue is less susceptible to complications. Additionally, transverse incisions facilitate better drainage of any potential seromas or hematomas that may form post-operatively, which further reduces the risk of infection.

Moreover, the orientation of the incision allows for more effective closure techniques and typically leads to less tension on the wound edges. Wounds under less tension are better able to heal without complications related to infection, as they can close more effectively without disruption.

In contrast, other incision types may involve more tissue manipulation or risk higher tension at closure, potentially leading to increased susceptibility to infections. This makes the transverse incision the preferred choice in this scenario.