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 (fig10)10) ().
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Please enter Password Forgot Username? The left incision may be used effectively in resection of the lower end of the esophagus and proximal portion of the stomach Molina et al, ; Ti, In newborns and infants, this incision is preferred, because more dxvis exposure is gained per length of the incision than with vertical exposure because the infant’s abdomen has a longer transverse than vertical girth Gauderer, This incision serves a similar purpose as Marwedel incision.
Because the linea alba is anatomically narrow at the inferior portion of the abdominal wall, the rectus sheath may be opened unintentionally, although this is of no consequence.
Surgical incision
Rectus muscle preservation in oblique incisions for cholecystectomy. June Learn how and when to remove this template message. However when biliary exploration or biliary anastomosis with a segment of bowel is needed, it may not be very suitable. Extension across the midline and down the other costal margin may be used to provide generous exposure of the upper abdominal viscera. Wikipedia articles needing reorganization from June Articles lacking in-text citations from December All 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 Also, Atlas of Surgical Procedures, and some described procedures in some surgical textbook of surgery were consulted.
Cosmetic end results of any incision in the body are most important from patients’ point of view. Surgery Today, 26 6: It is therefore ideal for choledocho-duodenostomy, choledochojejunostomy, and cholecysto-jejunostomy.
ABDOMINAL INCISIONS IN GENERAL SURGERY: A REVIEW
The posterior sheath and the peritoneum which are adherent to each other, are excised vertically in the same plane as the anterior fascial plane Brennan et al, In surgerya surgical incision incisionn a cut made through the skin and soft tissue to facilitate an operation or procedure. Good cosmesis helps patient morale.
European Journal of Vascular Endovascular Surgery, 18 4: It has good cosmetic effect. Surgical ibcision are planned based on the expected extent of exposure needed for the specific operation planned. Diastolic hypertension corrected by operation: A rationale for the routine use of transverse abdominal incision in infants and children.
Esophagogastrectomy for adenocarcinoma of the cardia. Annals of Surgery, Investigation Clinics, 38 1: It is a lower right paramedian incision but placed more laterally than the standard paramedian incision.
Common examples include the Kocher subcostal incision for biliary surgery, the Pfannenstiel infraumbilical incision for gynecologic surgery, and the McBurney and Rockey-Davis incisions for appendectomy. A “Bikini” incision for appendicectomy. Robe and Smith’s Operative Surgery.
ABDOMINAL INCISIONS IN GENERAL SURGERY: A REVIEW
Abdominal incisions can be vertically, transversely, or obliquely oriented. In this case the rectus abdominal muscle may have to be cut in a diagonal manner.
With this, adequate hernia repair can be performed, and it also gives a good cosmetic result. This gives excellent access to the upper abdominal viscera and, in particular to all the diaphragmatic hiatuses Yoshinaga, ; Motsay et al, ; Brooks et al, Nothing should compromise this and a larger incision or even, on occasion, a second incision should be created without hesitation if exposure is inadequate.
A chest retractor is inserted and opened to produce wide spreading of the intercostal space. There is this wrong notion that the only standard abdominal incision is the midline incision. American Journal of Surgery, 2: The subcostal incision is started at the midline, 2 to 5 cm below the xiphoid and extends downwards, outwards and parallel to and about 2. Semin Vascular Surgery, 13 4: Please review our privacy policy. This incision gives good access to the liver especially the left lobe, stomach, spleen, hepatic flexure, splenic flexure and transverse colon.
However the important thing is that the incision should be such that the operating surgeon is comfortable with the exposure and access.