Surgical Incisions Flashcards

1
Q

Give some common surgical incisions done in O&G

A

Lower segment C-section
Laparotomy
Hysterectomy
Laparoscopy

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2
Q

Which three muscles form the layers of the anterolateral abdominal wall?

A

External oblique
Internal oblique
Transversus abdominis

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3
Q

Which abdominal wall muscle is found in the midline?

A

Rectus abdominis

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4
Q

Which abdominal wall muscle fibres has a ‘hands in pocket’ orientation?

A

External oblique

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5
Q

The external oblique muscles run from which ribs (roughly)?

A

Rib 5 to 11

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6
Q

What are the distal attachments of the external oblique muscles?

A

Iliac crest

Linea alba

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7
Q

What is the orientation of the internal oblique muscle fibres?

A

Hands on chest

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8
Q

Which ribs do the internal obliques attach to?

A

Lower ribs (10/11/12)

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9
Q

What divides the rectus abdominis into sections?

A

Tendinous intersections

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10
Q

What forms the linea alba?

A

Interweaving of muscle aponeuroses

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11
Q

What forms the rectus sheath?

A

Combined aponeuroses of anterolateral abdominal wall muscles

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12
Q

The rectus sheath is anterior/posterior to the rectus abdominis below the arcuate line

A

Anterior

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13
Q

Which nerves supply the anterolateral abdominal wall?

A

Thoracoabdominal
Subcostal
Iliohypogastric
Ilioinguinal

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14
Q

The nerves to the abdominal wall run within which muscles?

A

Internal oblique and transversus abdominis

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15
Q

What is the main blood supply to the anterior abdominal wall?

A

Inferior epigastric arteries

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16
Q

The inferior epigastric arteries are branches of which structure?

A

External iliac artery

17
Q

The inferior epigastric arteries lie deep to what structure?

A

Rectus abdominis

18
Q

In a LSCS the rectus abdominis muscles are/are not cut

A

Are not cut

19
Q

Why are laparatomy scars poor at healing?

A

As they are relatively bloodless

20
Q

What incision is usually done in laparoscopy?

A

Sub-umbilical

21
Q

What artery must be considered if using a lateral port for laparoscopy?

A

Inferior epigastric artery

22
Q

Which artery must be considered when performing a hysterectomy?

A

Uterine artery