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Other common laparotomy incisions include: Kocher (right subcostal) incision (after Emil Theodor Kocher); appropriate for certain operations on the liver, gallbladder and biliary tract. [3] This shares a name with the Kocher incision used for thyroid surgery: a transverse, slightly curved incision about 2 cm above the sternoclavicular joints.
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.
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]
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 Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
The optimal patient position involves a cushion under the shoulders to extend the neck. Commonly a transverse (horizontal) incision is made two fingerbreadths above the suprasternal notch. Alternatively, a vertical incision can be made in the midline of the neck from the thyroid cartilage to just above the suprasternal notch.
The Modified Gibson incision is a transverse incision above the pubis, frequently used in gynecological and urological surgeries. This incision can be made on either side of the midline , but often on the left.
The standardization of an incision is not best practice when performing an appendectomy given that the appendix is a mobile organ. [9] A physical exam should be performed prior to the operation and the incision should be chosen based on the point of maximal tenderness to palpation. [9] These incisions are placed for appendectomy: