The McBurney incision has largely been supplanted by the Rockey-Davis incision, which is oriented transversely as opposed to obliquely, allowing for better. Rockey-Davis incision. Transverse skin incision in right lower quadrant with muscle splitting technique used in appendectomy. Cases have been seen in which an abdominal incision extends from the xyphoid process to the . Transverse or Davis-Rockey Incision (fig ‚Äč(fig10)10) ().

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It doesn’t give good access to contralateral structures. Care must be taken to avoid ‘tramline’ or ‘acute angle’ incisions Figure 1which could lead to devascularisation of tissues. The incision offers excellent cosmetic results because the scar is almost always hidden by the patient’s pubic hair postoperatively Griffiths, Some surgeons still prefer davus split the rectus muscle rather than dissect it free Guillou et al, World Journal of Surgery.

This is to prevent ulcer diathesis that may occur as a result of steroid therapy following transplantation; ii splenectomy, to reduce immune cells that may enhance rejection; iii appendectomy, because the donor kidney is usually placed in the right lower quadrant of the recipient, it is therefore essential not to confuse an attack of appendicitis with the pain of early kidney rejection, since the appendix has been removed; iv bilateral nephrectomy although this is no more considered necessary ; and v oophorepexy in females.

American Journal of Obstetrics and Gynaecology, 1: Pfannenstiel incision i Kocher subcostal incision Figure 5 Theodore Kocher originally described the subcostal incision; it affords excellent exposure to the gall bladder and biliary tract and can be made on the left side to afford access to the spleen Kocher, Author information Copyright and License information Disclaimer.


Indmedica – Journal of the Anatomical Society of India

In intestinal obstruction, distended bowel loops may be there immediately below the incision and in re-exploration, the bowel may be adherent to the peritoneum.

With this, adequate hernia ibcision can be performed, and it also gives a good cosmetic result. Thoracoabdominal approaches versus inverted T incision for posterior sgementectomy in hepatocellular carcinoma. Midline or transverse laparotomy?


This is one of the earliest incisions for appendicitis. Abdominal incisions can be vertically, transversely, or obliquely oriented.

Wikipedia articles needing reorganization from June Articles lacking in-text citations from December Incisino articles lacking in-text citations Articles needing cleanup from March All pages needing cleanup Cleanup tagged articles with a reason field from March Wikipedia pages needing cleanup from March Choice of incision in surgical management of small bowel perforations in enteric fever.

Transverse incisions include the Kocher subcostal incision, transverse muscle dividing, McBurney, Pfannenstiel, and Maylard incisions. Surgical incisions are planned based on the expected extent of exposure needed for the specific operation planned.

It is probably no exaggeration to state that, in abdominal surgery, wisely chosen incisions and correct methods of making and closing such wounds are factors incisioj great importance Nygaard and Squatrito, Edr10th Edn. Anatomic exposures in thoracoabdominal aortic surgery. An incision must provide access to the site of abdominal pathology and allow easy extension if greater exposure than originally anticipated is required.


Journal of Urology, 99 5: The peritoneum is then grasped with a thumb forceps, elevated and opened.

This is to hide the ovaries under the pubic bone to avoid the effect of radiation on the ovaries when the transplanted donor kidney is irradiated immediately after transplantation to destroy initial immune dacis that might attack the donor kidney.

Alternatively, when superior exposure of upper abdominal organs eg, the esophagogastric junction is required, thoracoabdominal incisions may be used. Incisions, closures and management of the wound. The Maylard incision in gynaecologic surgery. If necessary, the midline incision may be extended through the umbilicus or by the side of umbilicus.

Discussion The basic rule in surgery is to make an incision big enough and adequately placed to allow a comfortable access to the area of operation. Journal of Surgery Oncology, 56 3: It is necessary to separate the aponeurosis in an upward direction, almost to the umbilicus and downwards incidion the pubis.

Annals of Royal College of Surgery England, 73 3: Paramedian Incisions The skin incision is placed 2 to 5 cm lateral to the midline over the medial aspect of the bulging transverse convexity of the rectus muscle.