General Surgery Chapter 14 Abdominal Incisions (Nicola)

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1

What are vertical (median or midline, paramedian, supraumbilical, and infraumbilical), transverse,
oblique (oblique lateral, McBurney “muscle-splitting,” and Kocher subcostal), and thoracoabdominal.

Types of incisions

2

What incision is used for a thoracotomy

Thoracoabdominal

3

What are these types of incisions?
Subcostal (Kocher)
McBurney’s
Lateral

Oblique Incisions

4

What incision is used for a open appendectomy

McBurney's

5

What incision is used for a open gall bladder

Right subcostal (Kocker)

6

What incision is used most commonly for appendectomy, and is a muscle splitting incision

Oblique Incision—McBurney’s

7

What provides access to the appendix and extraperitoneal drainage of an abscess

Oblique Incision—McBurney’s

8

What incision is used for a ventral hernia

Ventral incision - median

9

What provides access to Biliary tract (right) and spleen (left)
Cholecystectomy

Oblique Incision—Kocher Subcostal

10

What incision is used for access to the pancreas and abdominal exploration in cases of blunt trauma, and lower incision used for access to pelvic viscera

Transverse Incision

11

What is a bilateral subcostal incision that is joined through the midline

Upper transverse incision

12

What incision is a Pfannenstiel, Maylard, and Cherney

Lower transverse incision

13

What incision converts the pleural and peritoneal spaces into one cavity, and is used when particular access is required for extensive esophagogastric surgery (left) or emergency hepatic resection (right)

Thoracoabdominal incision

14

What incision?
Laparotomy
Ventral herniorrhaphy
Open to peritoneum
Kockers are used to lift and spread to protect internal organs

Vertical incision

15

What incision?
Small bowel resection
Hernia

Transverse Vertical (Paramedian)

16

What incision is used to remove a hernia (Herniorrhaphy)

Right oblique inguinal

17

What incision?
C-Section
Pfannenstiel
Maylard
Cherney

Transverse - Lower

18

What incision?
Above ribs - typically only performed if the patient has had multiple surgeries and has lots of scar tissue median, or in emergency situations

Transverse - Upper

19

What incision?
In between ribs (Lateral position)
Access to liver and thoracic space
Liver resection
Lung biopsy

Thoracoabdominal

20

Which incisions need quicker access to organs

Vertical Incision — Median

21

What incision is used for C-section, and pelvic surgery

Pfannenstiel

22

What incision is used for Sigmoid colon surgery

Paramedian incision


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