This Abdominal Wall Incision - Muscle Splitting course will teach you how to approach the abdominal cavity using a lower abdominal muscle splitting incision. See the full course for free here: [ Ссылка ]
SURGICAL OBJECTIVES
The surgical objective of any abdominal cavity approach is optimal exposure of the abdominal cavity for the indicated operation with minimal risk of complications. Risk factors that could influence the choice of abdominal cavity approach are risk of incisional hernia, pain, bleeding, and infection.
APPROACHES - Midline incision
This is the main approach for major abdominal surgery, central vascular (aortic), and abdominal trauma surgery. The great advantage of the midline incision is the limited risk of bleeding as the incision is made along the avascular linea alba. However, this may impair wound healing as well.
Upper abdominal cavity approaches:
Upper abdominal cavity approaches like the Kocher, Chevron, and mini transverse incision can be used for abdominal surgery of the liver, gallbladder, pancreas, and stomach. Optimal exposure in pediatric abdominal surgery can be achieved by a transverse incision due to the abdominal proportions of the infant.
Lower abdominal cavity approaches:
Lower abdominal cavity approaches like the Maylard, Pfannenstiel, Joel-Cohen, or lower midline can be used for gynecological, obstetrical, or pelvic surgery or can be used as an extraction site for specimen removal during for example colorectal surgery. The main difference between the Maylard incision and any other transverse lower abdominal incision, such as the Pfannenstiel incision, is that in the Maylard incision the rectus muscle is transected instead of split. The Maylard incision is placed higher than the Pfannenstiel incision, resulting in the possibility of extending it into a larger incision and gaining more exposure. [3] The lower abdominal muscle splitting approach is often chosen in case of open appendectomy or for specimen retrieval during laparoscopic surgery. Transverse incision might be preferred over a midline incision regarding the incidence of incisional hernias when adequate exposure can be obtained.
With the following tips you might perform this Abdominal Wall Incision - Muscle Splitting procedure even better:
- Silversign
- Repositioning of the cecum
