Lecture 8 - O And G Surgical Incisions

Question 1

Examples of common o and g surgical incisions?

Answer 1

• Lower segment Caesarean section (LSCS)
• Laparotomy
• Laparoscopy
• Abdominal (and vaginal) hysterectomy

Question 2

What is a lower section c section?

Answer 2

the most commonly used type of Caesarean section. Most commonly to deliver the baby a transverse incision is made in the lower uterine segment above the attachment of the urinary bladder to the uterus.

Question 3

Layers of anterolateral abdominal wall from outer to inner?

Answer 3

Skin
Subcutaneous tissues (further divided into the more superficial Camper’s fascia and the deeper Scarpa’s fascia)
External oblique muscle
Internal oblique muscle
Transversus abdominis muscle
Transversalis fascia
Parietal peritoneum

Question 4

Features of external oblique muscles?

Answer 4

-Attach between lower ribs and iliac crest, pubic tubercle and linea alba

-Linea alba (strong fibrous midline structure)

-Fibres run in same direction as external intercostals

Question 5

Features of internal oblique muscles?

Answer 5

-Attach between lower ribs, thoracolumbar fascia, iliac crest and linea alba

-Linea alba

-Fibres run in same direction as internal
intercostals

Question 6

Features of transversus abdominis?

Answer 6

-Attach between lower ribs, thoracolumbar fascia, iliac crest and linea alba

-Linea alba

Question 7

When undertaking a suprapubic incision i.e. LSCS, rectus sheath will be incised anteriorly. True/false?

Answer 7

True