Types of Surgical Incisions and Nerve Preservation

Vocabulary flashcards covering various types of surgical incisions, their classifications, specific indications, and associated suture and nerve preservation details.

Peri-umbilical Incisions

Incisions made around the umbilicus, including median or midline, supraumbilical, and infraumbilical incisions.

Median or Midline Incision

A vertical incision that provides access to the abdominal cavity, commonly used in various surgical procedures and trauma cases.

Supraumbilical Incision

An incision made above the umbilicus, often used for access to the upper abdomen.

Infraumbilical Incision

An incision made below the umbilicus, typically used for lower abdominal surgeries.

Oblique Incisions

Incisions made at an angle to the midline, including McBurney, Chevron, Pfannenstiel, and Kocher subcostal incisions.

McBurney Incision

A specific oblique incision located in the right lower quadrant, used specifically for appendectomies.

Chevron Incision

A curved incision that allows access to the upper abdomen, often used in liver surgeries.

Pfannenstiel Incision

A horizontal transverse incision made in the lower abdomen, primarily used for C-sections and gynecological surgeries for cosmetic benefits and lower risk of complications.

Kocher Subcostal Incision

An oblique, curved incision made below the rib cage used for access to the gallbladder, liver, pancreas, and abdominal exploration.

Transverse Incisions

Horizontal cuts across the abdomen, including Maylard, AUSTION, Cherney, and Pfannenstiel incisions.

Maylard Incision

A transverse incision providing access to the lower abdomen, often used in gynecological procedures.

AUSTION Incision

A less common transverse incision where specifics may vary based on surgical context.

Cherney Incision

A transverse incision used for gynecological surgeries, similar to the Maylard incision.

1 or #0 Nonabsorbable Suture

Suture types that provide strong support for fascia closure, ideal for vertical incisions.

Eighth Dorsal Nerve

A nerve that must be preserved during a Kocher subcostal incision to maintain abdominal musculature integrity.

Ninth Dorsal Nerve

A nerve important for abdominal muscle function whose preservation is critical during surgical procedures.

Thoracoabdominal Incision

An incision that converts pleural and peritoneal spaces into one cavity, used for extensive surgeries.

Paramedian Incision

An incision similar to the median but offset to the side, useful for sigmoid surgeries.