Anatomy of Surgical Incisions

Question 1

Should be used to guide incisions. They correspond to the natural orientation of collagen fibers in the dermis, and are generally parallel to the orientation of the underlying muscle fibers.

Answer 1

Langers Lines

Question 2

LSCS =

Answer 2

Lower segment Caesarian Section

Question 3

what is not cut!?

Answer 3

rectus muscles (the rectus sheath is cut and muscles spread laterally)

Question 4

incision that follows the linea alba

Answer 4

laparotomy (quite bloodless so increase likelihood of complications)

Question 5

during laparoscopy be careful of what?

Answer 5

inferior epigastric artery (especially if lateral port is required)

Question 6

During hysterectomy, extreme care must be taken to differentiate the ureter from the uterine artery. Remember:

Answer 6

• the ureter passes inferior to the artery (“water under the bridge”)
• the ureter will often “vermiculate” when touched