What are the types of surgical incisions?

What are the types of surgical incisions?

Issues of Concern

• Midline Incisions. Also known as the laparotomy incision, or celiotomy, this is the most traditional of surgical incisions.
• Kocher Incisions (Subcostal)
• Para-median Incision.
• Gridiron Incision (McBurney Incision)
• Lanz (Rockey-Davis)
• Thoracoabdominal (Iver Lewis)
• Chevron.
• Pfannenstiel (Kerr/Pubic incision)

When is Pfannenstiel incision used?

A Pfannenstiel incision is commonly performed for routine primary or repeat cesarean delivery or may be used for nonobstetric abdominal hysterectomy.

What is a Pfannenstiel skin incision?

The Pfannenstiel incision is a transverse skin incision, two finger-breadths above the symphysis pubis, which is extended in the direction of the anterior superior iliac spine (ASIS) and ends 2–3 cm medial to ASIS on both sides (4).

What benefit does Pfannenstiel incision offer over a midline incision?

Both provide superior pelvic exposure compared with the Pfannenstiel incision and offer significant benefits over a midline incision, such as decreased postoperative pain and improved wound healing.

What is Lanz incision?

A Lanz incision is a specific type of abdominal incision. It is sited in the right iliac fossa. Compared to McBurney’s incision: it is more transverse in orientation. it generally extends more medially towards rectus abdominis.

How long does it take for surgery incisions to heal?

In most cases, a surgical incision heals in about two weeks. More complex surgical incisions will take longer to heal. If you have other medical conditions or are taking certain medications, your healing time may differ.

What is a peritoneal incision?

INTRODUCTION. An abdominal operation combines a somatic abdominal wall wound with a second wound to the peritoneal cavity and viscera. Little attention has been paid the peritoneal wound that communicates directly to the brain by the vagus nerve.

What type of incision is used for an appendectomy?

Open appendectomy. Skin incision is based on McBurney point, which lies one third of distance along imaginary line between right anterior superior iliac spine (ASIS) and umbilicus. Incision is made through this point perpendicular to this line (McBurney-McArthur) or horizontally (Lanz).

What’s the name of the incision for laparoscopic surgery?

For laparoscopic surgery, it’s common to use the navel or belly button. In Latin, it’s called the umbilicus. Your navel is a scar you’ve had since your own birth. By using this scar to insert instruments, the doctor has lots of space to work with. The scar you’re left with is likely small or invisible.

What kind of incision is not inside the navel?

Infraumbilical/periumbilical incision (transverse) This surgical incision falls right below the navel and not inside it. This means there will be a visible scar for at least a while after the surgery. Over time, it may become invisible.

Are there any incisions above the bikini line?

The following incisions are quite large and are usually above the panty or bikini line. These surgical incisions are unnecessarily big and visible for just a tubal ligation or salpingectomy. Your surgeon should probably not suggest these incisions for fallopian tube removal

Where is the skin incision in the Pfannenstiel technique?

In the Pfannenstiel technique, the skin incision was placed about 2 cm above the symphysis with the mid‐portion of the incision lying within the shaved area of the pubic hairs.