Chapter 9: Incisions Flashcards
If a patient has an old incision, is it best to make a subsequentincision next to or through the old incision?
Through the old incision, or excise the old incision, because it has scar tissue that limits the amount of collaterals that would be needed to heal an incision placed next to it
What is used to incise the epidermis?
Scalpel blade
What is used to incise the dermis?
Scalpel or electrocautery
Kocher
Right subcostal incision for open cholecystectomy:
Midline laparotomy
Incision down the middle of abdomen along and through the linea alba:
McBurney’s
Small, oblique right lower quadrant incision for an appendectomy through McBurney’s point (one third from the anterior superior iliac spine to the umbilicus):
Pfannenstiel (“fan-en-steel”)
Low transverse abdominal incision with retraction of the rectus muscles laterally; most often used for gynecologic procedures:
Median sternotomy
Midline sternotomy incision for heart procedures; less painful than a lateralthoracotomy:
Thoracotomy
Usually through the fourth or fifth intercostal space; may be anterior or posterior lateral incisions. Very painful, but many are performed with muscle sparing (muscle retractionand not muscle transection):
CEA (carotid endarterectomy)
Incision down anterior border of the sternocleidomastoid muscle to expose thecarotid:
Inguinal hernia repair (open)
Laparoscopic cholecystectomy
