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Incisions on abdominal wall’

different types of incisions on abdominal wall.

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Incisions on abdominal wall’

  1. 1. Dated on;3rd may 2017
  2. 2.  Introduction  Criteria for incision  Choice of incision  Classification  Summary
  3. 3.  Depend upon  Type of surgery [elective/emergency]  Target organ  Surgeons own experience and preference and  Previous surgery.
  4. 4.  Midline incision; avertical incision which follows the linea alba.  It may be,  upper midline incision;  lower midline incision  single incision. SIGNIFICANCE;it is favoured In diagnostic laporotmy,as it Allow wide access to abdominal Cavity.
  5. 5.  Like in perforated appendix,twisted ovarian cyst, typhoid ileal perforation.
  6. 6.  It is made 2 to 5 cm lateral to umblicus.  It has two advantages;  it offers vertical incision to right or left providing access to lateral structures like spleen or kidney.  Closure is theoretically more secure because rectus muscle act as a buttress between reapproximated posterior and anterior facial planes.
  7. 7. midline paramedian 1. quick 1. Time consuming 2. rapid 2. laborous 3. vessels, nerves muscles not damaged 3. Vessels nerves, mucsles damaged 4.Extensibility is limited. 4.Extensibility is limited bc of rib cage 5. Blood less 5. More bleeding.
  8. 8.  Right and left kocher incision  Rooftop/double kocher/chevron  Gridiron/mcburney’s  Lanz  Rutherford morrison  Battle’s  Inguinal  Pfannenstiel  Mylard
  9. 9.  better cosmetically  Stronger than vertical  Less painful  Good access to upper GI structures  More advantageous in children b/c of more transverse length of abdomen.
  10. 10.  Rooftop incision used for gastrectomy, oesophagectomy, pancreatectomy, hepatic resection, and liver transplantation.  Mercedes banz modification classically used for liver transplantation.
  11. 11.  It is a variation of mcburneys incision that is made the same point but in transverse plane.  It gives cosmetically good scar.
  12. 12.  Done for inguinal hernais, testicular cancer, cryptochridism, hydrocele, varicocele.
  13. 13.  It commences 1.25cm below and lateral to renal angle and passes downwad towards the anterior superior iliac spine.

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different types of incisions on abdominal wall.

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