surgical principles/techniques

Question 1

types of entry?

Answer 1

• midline
• pfannenstiel
• cherney
• maylard

Question 2

midline

• advantage
• disadvantage

Answer 2

• advantage: quick entry, good exposure, less blood loss, nerve damage, easy to extend
• disadvantage: wound dehiscence more commmon

Question 3

pfannenstiel

• advantage
• disadvantage

Answer 3

• advantage: better cosmetics, fewer langer lines are cut (improved healing), hernias uncommon
• disadvantage: obesity

Question 4

cherney

• identifying feature
• advantage

Answer 4

• identifying feature: excise rectus tendon off pubis, can damage inferior epigastric vessels
• advantage: good exposure of abdomen, strong healing

Question 5

maylard

• identifying feature
• advantage

Answer 5

• identifying feature: muscle cutting- must ligate inferior epigastrics behind lateral rectus sheath. * do not separate off rectus muscle*
• advantage: excellent visualization of abdomen