abdominal anatomy, abdominal incision, cesarean incision, incision of the abdomen, type of abdominal incision, Obstetric operative, Obstetrics

6. Knowledge anatomy is
essential
 to avoid or secure major vessels
 to enhance appropriate repair, so as
 to reduce the risk of incisional or wound
dehiscence

7. Category of incision
Midline
Transverse

8. Transverse Incisions
Maylard incision
Pfannenstiel Incision
Cherney incision
Kustner incision

9. Maylard’s Incision

10.  Made 2 fingerbreadths
above the symphysis pubis
(appr. 3-4 cm)

11.  Carried down through the
subcutaneous fat and through Scarpa’s
fascia

12. Transverse Incisions; Maylard
 Fascia overlying the abdominal wall
muscles is identified

13.  Scarpa’s fascia covers the sheath of the rectus

14. Rectus muscle now could be seen clearly

15. Lower portion of the rectus sheath is dissected from rectus
belly

20. Pfannenstiel Incision

39. Cherney Incision

46. The incision affords less exposure than the Pfannenstiel and almost no
extensibility.

47. Median Incision

53. Midline Incision
Advantages
1.It is almost bloodless
2.No muscle fibres are divided
3.No nerves are injured
4.Good access to the upper abdominal viscera
5.It is very quick to make as well as to close
6.A midline epigastric incision also can be extended the full length
of the abdomen curving around the umbilical scar

54. Closing the abdomen

63. Caesarean Section