incisions surgery

Question 1

Midline

Answer 1

incision though the línea alba
poorly vascularised and major nerves are avoided
requires access to the abdominal cavity

Question 2

Paramedian incision

Answer 2

performed lateral to the línea alba
access to more lateral structures (kidney, spleen and adrenals)
but method legates blood and nerve supply to the muscles medial to the incision

Question 3

Kocher incision

Answer 3

begins inferior to the xiphiod process and extends inferolaterally in parallel to the right costal margin.
gain access for the gallbladder and or the biliary tree pathology

Question 4

Chevron incision

Answer 4

The extension of the kocher incision to the other side of the abdomen.
used for oesophagectomy, gastrectomy, bilateral adrenalectomy, hepatic resection and or liver transplant

Question 5

Mercedes Benz incision

Answer 5

vertical incision and break through the xiphisternum
This may be used for the same indications as the Chevron incision however it is classically seen in liver transplantation.

Question 6

McBurney’s incision

Answer 6

grid iron= two perpendicular lines
splitting the fibres of the muscles without cutting them good healing
performed at Mc Burney’s point (ASIS and umbilicus 1/3 of distance)
open appendectomy.