In surgery, a surgical incision is a cut made through the skin and soft tissue to facilitate an . Lanz incision – A variation of the traditional Mc Burney’s incision, which was made at McBurney’s point on the abdomen: The Lanz incision is made at. Skin incision is based on McBurney point, which lies one third of distance along to this line (McBurney-McArthur) or horizontally (Lanz). The gridiron and lanz incisions are muscle-splitting incisions which are the incisions of choice for open appendicectomy. They differ in the orientation of the skin.

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A surgical incision is an aperture into the body to permit the work of the operation to proceed. The key principles of making surgical incisions are:. The wound can be covered in incisionn protective dressing and kept dry for a few days, before normal washing can resume.

Modified Lanz incision in appendicectomy – the surgical trainees best friend.

Advise the patient should be advised to seek advice if any signs of infection or wound dehiscence. The Lanz and Gridiron incisions are two incisions that can be used to access the appendixpredominantly for appendicetomy. The midline incision no. The incision will cut through the skin, subcutaneous tissue, and fascia, the linea alba and tranversalis fascia, and the peritoneum before r eaching the abdominal cavity. As well as obtaining significant exposure of the viscerathis incision causes minimal blood loss or nerve damage, and can be used for emergency procedures.

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Its positioning however does make it susceptible to significant scars. The paramedian incision no. It was originally used to access much of the lateral viscerasuch as the kidneys, the spleen, and the adrenal glands. The incision runs cm lateral to the midlinecutting through the skin, subcutaneous tissue, and the anterior rectus sheath.

Surgical incision – Wikipedia

The anterior rectus sheath is separated and moved laterally, before the excision is continued through the posterior rectus sheath if above the arcuate line and the transversalis fascia, reaching the peritoneum and abdominal cavity. The incision will take a long time and is often technically difficult, however it does prevent any division of the rectus muscle and provides access to lateral structures.

A Kocher incision no.

The incision is made to run parallel to the costal marginstarting below the xiphoid and extending laterally. The incision will then pass through the all the rectus sheath and incisioh muscle, internal oblique and transversus abdominus, before passing through the transversalis fascia and then peritoneum to enter the abdominal cavity. Two modifications and extensions of the Kocher incision are possible:.

Whilst open procedures that come with inherent drawbacks, all these subcoastal incisions provide the surgeon with good exposure to the abdominal viscera and tend to heal well. Fig 2 — Common abdominal incisions.

Laparoscopic surgery keyhole surgery requires small incisions to be made in the skin, which allow instruments to be passed into the abdominal cavity.


Common instruments include the camera, cutting and dissecting scissors, and grippers. The port sites will vary depending on the surgery being performed, yet the umbilicus is nearly always utilised as a port site to allow the camera to pass through.

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This information is intended for medical education, and does not create any doctor-patient relationship, and should not be used as a substitute for professional diagnosis and treatment. By visiting this site you agree to the foregoing terms and lncision. If you do not agree to the foregoing terms and conditions, you should not enter this site. Abdominal Incisions in General Surgery.

Which of the following is a subcostal incision used to gain access to the gall bladder? Which option correctly describes a Lanz incision?

Modified Lanz incision in appendicectomy – the surgical trainees best friend.

What is the classical indication for a Mercedes Benz incision? Recommended for You Laparoscopic Appendicetomy. Further Reading Systematic review and meta-analysis of cutting diathermy versus scalpel for skin incision.