What is Paramedian incision?
The para-median incision serves to expose lateral viscera. It is made 3cm, on average, lateral to the midline. The skin and subcutaneous tissue must be incised, the anterior rectus sheath, and the rectus muscle is deflected laterally if possible to expose the posterior rectus sheath if above the arcuate line.
Which layers will you meet at the paramedian incision?
A midline incision will thus encounter the following layers of tissue:
- Skin.
- Subcutaneous fatty layer (Camper’s fascia)
- Membranous fascia (Scarpa’s)
- Linea alba.
- Transversalis fascia.
- Preperitoneal fat.
- Parietal peritoneum.
What is a Supraumbilical incision?
Experimental: supraumbilical transverse. transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm.
Which abdominal incision is better for healing?
Incision through the umbilicus has no negative effect on wound healing. The upper abdominal incision gives good access to the viscera in the upper abdomen and this incision can be combined with a thoracotomy for oesophageal surgery. Lower abdominal incisions can also be midline, paramedian or pfannenstiel incisions.
What is Supraumbilical transverse incision?
transverse Supraumbilical Incision, in which the skin incision is a straight transverse skin incision slightly higher than the Pfannenstiel (5- 6) cm. from the upper border of the symphysis pubis The high transverse incision facilitated access to the fascia of the rectus abdominalis.
What are the layers of abdominal wall?
There are nine layers to the abdominal wall: skin, subcutaneous tissue, superficial fascia, external oblique muscle, internal oblique muscle, transversus abdominis muscle, transversalis fascia, preperitoneal adipose and areolar tissue, and peritoneum. Nerves, blood vessels, and lymphatics are present throughout.
What are abdominal wall layer in the incision of appendectomy?
The peritoneal cavity is entered by transecting the following abdominal wall layers: Skin. Camper’s fascia (subcutaneous fatty tissue) Scarpa’s fascia (membranous layer of the anterior abdominal wall.
What are the different types of abdominal incisions?
Abdominal incisions are of three types:
- Transverse incision.
- Vertical incision.
- Oblique incision.
Where is a Supraumbilical incision made?
The supraumbilical skin incision is made approximately a third of the way up from the umbilicus to the xiphisternum.
What is a paramedian incision for rectal prolapse?
The paramedian incision avoids injury to nerves, limits trauma to the rectus muscle, allows an anatomical and secure closure, and permits good restoration of abdominal wall function. If necessary, it can be extended from the pubis to the xiphoid by slanting the upper end of the incision medially toward the xiphoid.
What are abdominal wall fluid-filled masses or collections?
Abdominal wall fluid-filled masses or collections often have characteristic imaging appearances and are suggestive of certain clinical scenarios. These fluid collections can be characterized broadly as hematomas, fluid collections in postoperative patients, or cystic masses in patients without a history of surgery. Hematomas
What are abdominal wall processes?
Abdominal wall processes may manifest as multiple small nodules, masses, or calcifications in an anatomic region or diffusely throughout the soft tissues of the abdominal wall. In comparison with the algorithm-based approach to diagnosis of discrete abdominal wall masses, these diffuse processes have fewer distinguishing features.
Can imaging help distinguish different types of abdominal wall masses accurately?
The authors present a diagnostic algorithm that may help in distinguishing different types of abdominal wall masses accurately. Hernias may mimic discrete masses at clinical examination, and imaging is often ordered for evaluation of a possible abdominal wall mass.