surgical scars Flashcards
1
Q
A
2
Q
what do you have to cut through in abdo
A
Skin
Subcutaneous fatty layer
Membranous fascia
External oblique
Internal oblique
Transversus abdominis
Transversalis fascia
Preperitoneal fat
Parietal peritoneum
3
Q
use of midline incision
A
laparotomy
4
Q
A
paramedian incision
- not used in common practice
5
Q
A
Gridiron incision / mcBurney’s incision
- 2/3 between umbilicus and R ASIS
6
Q
A
Lanz incision
- more aesthetically pleasing than gridiron
7
Q
A
pfannensteil incision
- CS
- radical open prostatectomy
- cystectomy
8
Q
A
transverse scar
- lapartomy paeds
- AAA
9
Q
A
kocher incision
- open cholecystectomy
- (opposite side = splenectomy)
- bilateral = rooftop = pancreas and biliary tree
10
Q
A
11
Q
early complications of surgical scars
A
- atelectasis,
- postoperative pneumonia,
- urinary tract infection,
- oliguria,
- bedsores
- deep vein thromboses.
12
Q
specific complications of abdo surgery
A
- haemorrhage
- intra-abdominal collection
- postop ileus
- wound infection
- wound dishisence
13
Q
rf for wound dehiscence
A
- immunocomp
- smoking
- obesity
- jaundice
- diabetes
- steroid
- previous radiotherapy
- vascular disease
- surgical technique
- site and orientation of incision
- intra-op contamination
- lengthy procedure
14
Q
late complications of abdominal surgery
A
incisional hernia
adhesions
