Professional Documents
Culture Documents
Incision
Incision
`flat
`ext. oblique
`int. oblique
`transverse abdominal
`vertical
`rectus abdominis
`pyramidalis
4 planes
Horizontal
`Sub-costal (10th)
Vertical
`both midclavicular
Physical examination
Give?
`inspection
5F
`fat
`faeces
`fetus Posterior abdominal wall
`flatus 胀气 Composition
Main muscles
Nerves
`umbilical Somatic
`subcostal
`lumbar
` lumbar plexus
`obturator (L2-4)
`femoral (L2-4)
`ilioinguinal (L1)
`iliohypogastic (L1)
`genitofemoral (L1-2)
Autonomic
Arteries
Veins
`Triturates of IVC
Anatomy of abdominal incision
Incision is a cut made with knife for surgical purposes. `transverse abdominal
`abdominothoracic
Cardiothoracic incision
1. Median sternotomy
`Open heart surgery (valve replacement,
CABG, cardiac transplantation)
Thoracotomy
Use to access the pleural space. 3 subtypes
3. Posterolateral incision
Gold standard, mainly for pulmonary
resection (pneumonectomy, lobectomy),
chest wall resection, oesophageal surgery
4. Anterolateral incision
Can use in cardiac, pulmonary and
oesophageal pathology
5. Axillary incision
Muscle sparing approach to thoracic cavity,
used for pneumonectomy or pneumothorax
operations.
Applied anatomy Anatomy of abdominal hernia orifices
`recurrent
Closure of abdominal incision (no ideal method)
`Burst abdomen
`Incisional hernia
`Persistent sinuses
Incisional Hernia
`Protrusion of omentum or organ through
surgical incision.