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Suturing of the uterus after extraction Closed incision for low transverse abdominal incision after stapling has been completed. There are several steps that can be taken during abdominal or pelvic surgery to minimize postoperative complications, such as the formation of adhesions. Such techniques and principles may include:
Is: Supra-umbilical incision Im: Median incision IM: Maylard incision IP: Pfannenstiel incision. A lower (uterine) segment caesarean section (LSCS) is the most commonly used type of caesarean section. [1] Most commonly, a baby is delivered by making a transverse incision in the lower uterine segment, above the attachment of the urinary bladder ...
A midline incision may be preferred as well when the fetus lies transversely across the patient's uterus or if the placenta lies in the area where the low transverse incision is made. In practice, however, the midline incision is rarely used. [3] Other hysterotomy incisions include a high transverse incision and a fundal incision. [2]
If the previous caesarean(s) involved a low transverse incision there is less risk of uterine rupture than if there was a low vertical incision, classical incision, T-shaped, inverted T-shaped, or J-shaped incision. A previous successful vaginal delivery (before or after the caesarean section) increases the chances of a successful VBAC.
Joel-Cohen technique has lower rates of fever, hospital stay, post-operative pain and blood loss compared to Pfannenstiel. The operating time and use of analgesia are also reduced. Additionally, the time needed to get out of bed, walk without support and time for re-appearance of audible intestinal sounds were shorter in Joel-Cohen group than ...
If a mass is present, the incision is made over the mass. Otherwise, the incision is made over McBurney's point (one-third of the way from the anterior superior iliac spine to the umbilicus), which represents the most common position of the base of the appendix. [9] The various layers of the abdominal wall are opened.
Pfannenstiel incision, Kerr incision, or Pfannenstiel-Kerr [2] incision is the lower transverse incision made in the lower segment of uterus below the umbilicus and just above the pubic symphysis. [3] [4] It is commonly used in Caesarian section [5] and for abdominal hysterectomy for benign disease.
The most common incision for laparotomy is a vertical incision in the middle of the abdomen which follows the linea alba. [citation needed] The upper midline incision usually extends from the xiphoid process to the umbilicus. A typical lower midline incision is limited by the umbilicus superiorly and by the pubic symphysis inferiorly.