Incisions Flashcards

1
Q

If a patient has an old
incision, is it best to make a
subsequent incision next to
or through the old incision?

A

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

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2
Q

What is used to incise the

epidermis?

A

Scalpel blade

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3
Q

What is used to incise the

dermis?

A

Scalpel or electrocautery

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4
Q

Kocher incision

A

Right subcostal incision for open

cholecystectomy:

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5
Q

Midline laparotomy

A

Incision down the middle of abdomen

along and through the linea alba:

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6
Q

McBurney’s

A

Small, oblique right lower quadrant incision
for an appendectomy through McBurney’s
point (one third from the anterior superior
iliac spine to the umbilicus):

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7
Q

Rocky-Davis

A

Like a McBurney’s incision except

transverse (straight across):

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8
Q

Pfannenstiel

“fan-en-steel”

A

Low transverse abdominal incision with
retraction of the rectus muscles laterally;
most often used for gynecologic
procedures:

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9
Q

Kidney transplant

A

Lower quadrant; kidney placed

extraperitoneally

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10
Q

Liver transplant incision

A

Chevron or Mercedes-Benz® incision in

the upper abdomen

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11
Q

Median sternotomy

A

Midline sternotomy incision for heart
procedures; less painful than a lateral
thoracotomy:

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12
Q

Thoracotomy

A
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):
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13
Q

CEA (carotid

endarterectomy)

A

Incision down anterior border of the
sternocleidomastoid muscle to expose the
carotid:

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14
Q

Inguinal hernia repair

open

A

obvs

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15
Q

Laparoscopic

cholecystectomy

A

Four trocar incisions:

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