Anno Domini
Moderator
Topics: 293
Posts: 727
|
A third year medical student was invited by a senior surgeon to observe an abdominal exploratory operation on a patient with intestinal obstruction.While the surgeon and student were scrubbing their hands , the surgeon asked what abdominal skin incision would be appropriate.After a long pause , the student suggested a pararectus incision.The surgeon was not pleased and asked the folowing q?
Anatomicaly , why is pararectus incision undiserable?
What other incision would be better and why?
|
| parikshat
Forum Newbie
Topics: 0
Posts: 5
|
i think it is para median incision.becoz if the need be the incision can be widened.
|
| dmnz
Forum Junior
Topics: 7
Posts: 72
|
Midline incision is standard and most commonly used-
ADV-
easy access and quick
rectus need not be handled-no rectus hematoma,no rectus sheath division,
no muscle herniation,
less bleeding
easy closure- single loop nylon
gives acess to all organs of abdomen
when exploration you should have big incision- REMEMBER BIG SURGEONS MAKE BIG INCISION ,DO BIG BLUNDERS (whenever it comes to them)-always in emergency-midline is incision of choice - even if suspecting -appendicitis-believe me if you open abdo for appendicitis with Mcburney incision and appendix is normal-that's a disaster-you do remove it but make another incision to search for other pathology.
Paramedian-high incidence of incision hernia,disrrupt vessels supplying to rectus and nerve supply
Deepak :wink:
|
|
|
its median incision
|
|
| |
| | | | |
