Flashcards in Abdominal incisions (Dave's notes) Deck (6)
Loading flashcards...
1
Q
What layers does a midline incision go through?
A
Skin, subcutaneous tissue, line alba, transversalis fascia, extra peritoneal fat and peritoneum. No major vessels or nerves involved.
2
Q
Describe a paramedian incision
A
3cm from the midline, sheath split <1cm from the midline, and posterior wall incised.
3
Q
What incision is 3cm parallel to and below the R) costal margin?
A
Kocher incision or R) subcostal.
Double Kocher = rooftop = good access to upper abdomen
4
Q
What is a gridiron incision?
A
A transverse muscle splitting technique
5
Q
What lower abdominal transverse incision is used for pelvic access?
A
Pfannenstiel incision.
6
Q
What is a lumbar incision used for?
A
An extra peritoneal approach to the kidney and upper ureter.
