Scars

Question 1

Answer 1

midline laparotomy - emergencies e.g. trauma, obstruction and perforation

Question 2

Answer 2

laparoscopic port hole - any keyhole surgery

Question 3

Answer 3

pfannenstiel incision - c-section, open hysterectomy, prostatectomy

Question 4

Answer 4

Kocher incision / RUQ subcostal - open cholecystectomy, liver surgery

Question 5

Answer 5

bilateral subcostal / chevron / rooftop incision - pancreaticoduodenectomy (Whipple’s), liver transplant

Question 6

Answer 6

Gridiron/Lanz incision - open appendectomy

Question 7

Answer 7

Mcburney’s incision - open appendectomy

Question 8

Answer 8

Rutherford-Morrison scar / flank incision - kidney transplant, nephrectomy

Question 9

Answer 9

paramedian scar - older approach for abdo surgery, but not used so much now

Question 10

Answer 10

Median sternotomy - CABG, aortic and mitral valve replacement, heart transplant

Question 11

Answer 11

anterolateral thoracotomy - lobectomy, pneumonectomy, oseophagectomy

Question 12

Answer 12

posterolateral thoractomy

Question 13

Answer 13

clamshell incision - bilateral lung transplant, major thoracic surgery

Question 14

Answer 14

chest drain scar - intercostal space mid-axillary line

Question 15

Answer 15

VATS scar - recurrent pleural effusions/pneumothoraces

Question 16

Answer 16

ileostomy bag

Question 17

Answer 17

colostomy bag

Question 18

Answer 18

loop ileostomy (2 lumens)

Question 19

Answer 19

transverse cervical scar - thyroidectomy, parathyroidectomy

Question 20

Answer 20

carotid endarterectomy - carotid stenosis surgery

Question 21

Answer 21

AV fistula - feel for thrill

Question 22

Answer 22

longitudinal medial forearm scar - cubital tunnel syndrome, ulnar nerve decompression at elbow

Question 23

Answer 23

transverse wrist scar - carpal tunnel syndrome, median nerve compression

Question 24

Answer 24

deltopectoral scar - shoulder replacement, ORIF of proximal humerus fracture

Question 25

Answer 25

long medial thigh scar - saphenous vein harvesting, femoral-popliteal bypass graft

Question 26

Answer 26

groin scar - femoral artery access e.g. angioplasty, femoral hernia repair

Question 27

Answer 27

long lateral thigh scar - THR

Question 28

Answer 28

midline anterior knee scar - TKR

Question 29

Answer 29

ankle scar (medial / lateral malleolus) - ankle fracture ORIF

Question 30

Answer 30

posterior calf scar - achilles tendon repair

Question 31

Answer 31

fasciotomy scar - compartment syndrome