Incisions Flashcards
If a patient has an old
incision, is it best to make a
subsequent incision 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 incision
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):
Rocky-Davis
Like a McBurney’s incision except
transverse (straight across):
Pfannenstiel
“fan-en-steel”
Low transverse abdominal incision with
retraction of the rectus muscles laterally;
most often used for gynecologic
procedures:
Kidney transplant
Lower quadrant; kidney placed
extraperitoneally
Liver transplant incision
Chevron or Mercedes-Benz® incision in
the upper abdomen
Median sternotomy
Midline sternotomy incision for heart
procedures; less painful than a lateral
thoracotomy:
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 retraction and not muscle transection):
CEA (carotid
endarterectomy)
Incision down anterior border of the
sternocleidomastoid muscle to expose the
carotid:
Inguinal hernia repair
open
obvs
Laparoscopic
cholecystectomy
Four trocar incisions:
