Abdominal Incisions Flashcards

1
Q

Types of abdominal incisions

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A Kocher (subcostal) incision is commonly performed in the right upper quadrant for open …. The skin incision is placed approximately 3 cm below and parallel to the costal margin.

A

A Kocher (subcostal) incision is commonly performed in the right upper quadrant for open cholecystectomy. The skin incision is placed approximately 3 cm below and parallel to the costal margin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A … incision is essentially an extension of the Kocher incision across the midline to involve the other side of the abdomen. It is important for gaining good access to the upper abdomen for major surgery (e.g. liver transplantation, duodenal surgery, adrenalectomy).

The rooftop incision may be combined with a sternotomy incision during cardiac or liver surgery. This combined incision is known as a ‘Mercedes-Benz’ incision.

A

A Chevron incision is essentially an extension of the Kocher incision across the midline to involve the other side of the abdomen. It is important for gaining good access to the upper abdomen for major surgery (e.g. liver transplantation, duodenal surgery, adrenalectomy).

The rooftop incision may be combined with a sternotomy incision during cardiac or liver surgery. This combined incision is known as a ‘Mercedes-Benz’ incision.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A chevron incision is more commonly known as a ‘…’ incision.

A

A chevron incision is more commonly known as a ‘rooftop’ incision.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A midline … incision involves a longitudinal cut in the middle of the abdomen.

A

A midline laparotomy incision involves a longitudinal cut in the middle of the abdomen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A laparotomy is a very common surgical incision to gain access into the intra-abdominal cavity. It is often performed in an emergency (e.g. trauma) as it provides the most rapid entry into the abdomen. It may be a full incision from the … process to pubic … or limited to the upper or lower abdomen by halting the incision at the umbilicus.

A

A laparotomy is a very common surgical incision to gain access into the intra-abdominal cavity. It is often performed in an emergency (e.g. trauma) as it provides the most rapid entry into the abdomen. It may be a full incision from the xiphoid process to pubic symphysis or limited to the upper or lower abdomen by halting the incision at the umbilicus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A laparotomy incision provides excellent exposure into the abdomen and provides excellent access to many organs including abdominal viscera, liver, spleen, major vessels (inferior vena cave, aorta), kidneys, and pelvic organs.

Variations of this longitudinal incision may be performed, which include:

Para… incision: cut 2-5 cm left or right of the midline
Para… incision: cut at the lateral border of the rectus muscle

A

Variations of this longitudinal incision may be performed, which include:

Paramedian incision: cut 2-5 cm left or right of the midline
Pararectus incision: cut at the lateral border of the rectus muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

… incisions will usually follow the natural skin tension lines leading to a better cosmetic result during closure. A variety of incisions can be made to perform both abdominal and pelvic surgery. They may be performed above or below the umbilicus.

A

Transverse incisions will usually follow the natural skin tension lines leading to a better cosmetic result during closure. A variety of incisions can be made to perform both abdominal and pelvic surgery. They may be performed above or below the umbilicus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The Pfannenstiel incision is an example of a commonly employed transverse incision for … and … procedures that is discussed below. Small transverse incisions may be used to form/close stomas or to extract laparoscopic resection specimens.

A

The Pfannenstiel incision is an example of a commonly employed transverse incision for gynaecological and obstetric procedures that is discussed below. Small transverse incisions may be used to form/close stomas or to extract laparoscopic resection specimens.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The Rutherford-Morrison is an extension of the gridiron incision that is commonly performed for … surgery.

A

The Rutherford-Morrison is an extension of the gridiron incision that is commonly performed for transplant surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The Rutherford-Morrison incision is commonly completed for … transplants. It may be used on the left or right-hand side.

A

The Rutherford-Morrison incision is commonly completed for renal transplants. It may be used on the left or right-hand side.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The Rutherford-Morrison incision - The incision begins ~2 cm above the … (ASIS) and extends obliquely down and medially through the skin and deeper tissue cutting them along the line of the skin incision.

A

The Rutherford-Morrison incision - The incision begins ~2 cm above the anterior superior iliac spine (ASIS) and extends obliquely down and medially through the skin and deeper tissue cutting them along the line of the skin incision.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The Pfannenstiel incision is a commonly used transverse incision to perform … surgery.

A

The Pfannenstiel incision is a commonly used transverse incision to perform pelvic surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A Lanz incision is a commonly performed abdominal incision for open ….

A

A Lanz incision is a commonly performed abdominal incision for open appendicectomy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly