Surgical incision

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A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery.

Contents

Anatomy

Incisions of the neck, chest, and abdomen. Key as follows:
A. Carotid incision
B. Thyroidectomy incision
C. Tracheotomy incision
D. Subclavicular incision
E. Sternotomy incision
F. Infraareolar incision (either side)
G. Inframamary incision (either side)
H. Clamshell incision
I. Kocher / subcostal incision
J. Mercedes Benz incision
K. Paramedian incision (either side)
L. Chevron incision
M. Epigastrin / upper midline incision
O. McBurney's / gridiron incision (right side only -- for appendectomy)
P. Rockey-Davis / Lanz incision (right side only - for appendectomy)
Q. Supraumbilical incision
R. Infraumbilical incision
S. Pararectus incision
T. Maylard incision
U. Pfannenstiel / Kerr / pubic incision
V. Gibson incision (either side, but conventionally left)
W. Midline incision
X. Inguinal incision
Y. Femoral incision
Z. Turner-Warwick's incision Incisions of the torso.svg
Incisions of the neck, chest, and abdomen. Key as follows:
A. Carotid incision
B. Thyroidectomy incision
C. Tracheotomy incision
D. Subclavicular incision
E. Sternotomy incision
F. Infraareolar incision (either side)
G. Inframamary incision (either side)
H. Clamshell incision
I. Kocher / subcostal incision
J. Mercedes Benz incision
K. Paramedian incision (either side)
L. Chevron incision
M. Epigastrin / upper midline incision
O. McBurney's / gridiron incision (right side only for appendectomy)
P. Rockey-Davis / Lanz incision (right side only - for appendectomy)
Q. Supraumbilical incision
R. Infraumbilical incision
S. Pararectus incision
T. Maylard incision
U. Pfannenstiel / Kerr / pubic incision
V. Gibson incision (either side, but conventionally left)
W. Midline incision
X. Inguinal incision
Y. Femoral incision
Z. Turner-Warwick's incision

Surgical incisions are planned based on the expected extent of exposure needed for the specific operation planned. Within each region of the body, several incisions are common.

Head and neck

Chest

Abdomen and pelvis

Open mid-line incision with negative-pressure wound therapy vacuum removed Open incision.jpg
Open mid-line incision with negative-pressure wound therapy vacuum removed
Incisions used for caesarean section
Is: Supra-umbilical incision
Im: Median incision
IM: Maylard incision
IP: Pfannenstiel incision Cesareo.svg
Incisions used for caesarean section
Is: Supra-umbilical incision
Im: Median incision
IM: Maylard incision
IP: Pfannenstiel incision

Eye

Instrumentation

Abdominal incision created with a LightScalpel 10,600 nm CO2 laser handpiece, demonstrating a precise, bloodless tissue cut in the lower abdomen. LightScalpel CO2 Laser Abdominal Incision.jpg
Abdominal incision created with a LightScalpel 10,600 nm CO2 laser handpiece, demonstrating a precise, bloodless tissue cut in the lower abdomen.

A variety of instruments may be used to create surgical incisions:

See also

References

  1. Surgical Incisions – Their Anatomical Basis Section: Thoracic Incisions: http://medind.nic.in/jae/t01/i2/jaet01i2p170.pdf
  2. Vitale, Salvatore Giovanni; Marilli, Ilaria; Cignini, Pietro; Padula, Francesco; D'Emidio, Laura; Mangiafico, Lucia; Rapisarda, Agnese Maria Chiara; Gulino, Ferdinando Antonio; Cianci, Stefano (2014). "Comparison between modified Misgav-Ladach and Pfannenstiel-Kerr techniques for Cesarean section: review of literature". Journal of Prenatal Medicine. 8 (3–4): 36–41. ISSN   1971-3282. PMC   4510561 . PMID   26265999.
  3. synd/2500 at Whonamedit?
  4. H. J. Pfannenstiel. Ueber die Vortheile des suprasymphysären Fascienquerschnitts für die gynäkologischen Koeliotomien. (Volkmann's) Sammlung klinischer Vorträge, Leipzig, 1900, n F. 268 (Gynäk. Nr. 97), 1735-1756.
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  7. Surgical Incisions – Their Anatomical Basis: http://medind.nic.in/jae/t01/i2/jaet01i2p170.pdf
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