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No incision provides wider pelvic exposure, and is relatively painless compared to midline incisions. Result is the most pleasing cosmetic result of any abdominal incision. Kocher's incision – An oblique incision made in the right upper quadrant of the abdomen, classically used for open cholecystectomy. Named after Emil Theodor Kocher.
The most common incision for laparotomy is a vertical incision in the middle of the abdomen which follows the linea alba. [citation needed] The upper midline incision usually extends from the xiphoid process to the umbilicus. A typical lower midline incision is limited by the umbilicus superiorly and by the pubic symphysis inferiorly.
A Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
The term abdominal surgery broadly covers surgical procedures that involve opening the abdomen . Surgery of each abdominal organ is dealt with separately in connection with the description of that organ (see stomach , kidney , liver , etc.) Diseases affecting the abdominal cavity are dealt with generally under their own names.
-otomy or -tomy : surgical incision (see List of -otomies)-pexy : to fix or secure-plasty : to modify or reshape (sometimes entails replacement with a prosthesis), from the Ancient Greek πλάστος, plástos, meaning "molded".-rrhaphy : to strengthen, usually with suture
The standardization of an incision is not best practice when performing an appendectomy given that the appendix is a mobile organ. [9] A physical exam should be performed prior to the operation and the incision should be chosen based on the point of maximal tenderness to palpation. [9] These incisions are placed for appendectomy:
During an exploratory laparotomy, a large incision is made vertically in the middle of the abdomen to access the peritoneal cavity, then each of the quadrants of the abdomen is examined. [1] Various other maneuvers, such as the Kocher maneuver, or other procedures may be performed concurrently. Overall operative mortality ranges between 10% and ...
The kidney position is much like the lateral position except the patient's abdomen is placed over a lift in the operating table that bends the body to allow access to the retroperitoneal space. A kidney rest is placed under the patient at the location of the lift. [2] Sims' position The Sims' position is a variation of the left lateral position.