The McBurney incision has largely been supplanted by the Rockey-Davis incision, which is oriented transversely as opposed to obliquely, allowing for better. Rockey-Davis incision. Transverse skin incision in right lower quadrant with muscle splitting technique used in appendectomy. Cases have been seen in which an abdominal incision extends from the xyphoid process to the . Transverse or Davis-Rockey Incision (fig ‚Äč(fig10)10) ().

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The left incision may be used effectively in resection of the lower end of the esophagus and proximal portion of the stomach Molina et al, ; Ti, He will therefore have no choice but to extend the upper midline incision down to the pelvic area!

Vertical incisions include the midline incision, paramedian incision, and the Mayo-Robson extension of the paramedian incision. Certain incisions, popular in the past, have been abandoned, and appropriately so.

Indmedica – Journal of the Anatomical Society of India

The incision is laborius and difficult to extend superiorly as is limited by costal margin. However, in obstructed inguinal hernia, during an rocoey to operate on the patient, after anaesthesia and during skin preparation for surgery, the obstructed loop may slip back dvis the abdomen because of the relaxation of the muscle.

Kocher’s Incision The subcostal incision is started at the midline, 2 to 5 cm below the xiphoid and extends downwards, outwards and parallel to and about 2. McBurney originally placed the incision obliquely, from above laterally to below medially. This is extension of the McBurney incision by division of the oblique fossa and can be used for a right or left sided colonic resection, caecostomy or sigmoid colostomy.

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Towards no incisional hernias: European Journal of Vascular Dockey Surgery, 18 4: It is a lower right paramedian incision but placed more laterally than the standard paramedian incision. Generally, upper abdominal incision can be midline through the lineal alba or paramedian.

McBurney’s point-factor or fiction. Views Read Edit View history. Once the rectus muscle is free of the anterior sheath it can be retracted laterally because the posterior sheath is not adherent to the rectus muscle.


A reappraisal of the Pfannenstiel incision. If there is a gangrenous segment, resection and anastomosis can be performed through this area, and then the loop returned back into the abdominal cavity.

The incision is continued across the costal margin, and the cartilage is divided in a V shape manner with a scalpel so that the two ends interdigitate and can be closed more securely. Journal of American College of Surgery, 6: Midline or transverse laparotomy?

Surgical incision

Ann Ib Postgrad Med. This is a popular incision in dafis pelvic surgery. Investigation Clinics, 38 1: The Mayo-Robson extension of the paramedian incision is accomplished by curving the skin incision towards the xiphoid process. Otherwise, the two incisions are similar.

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Vertical abdominal incisions – a choice? Annals of Surgery, Incisions, Abdomen, General Surgery.

Moreover, the quality of exposure provided by an incision influences the ease and safety with which an operation can incislon undertaken and the outcome in ways which defy easy quantification. Therefore, transverse incisions parallel the direction of the fascial fibers and allow for ready reapproximation with sutures placed perpendicular to these fibers.

Transverse incisions include the Kocher subcostal incision, transverse muscle dividing, McBurney, Pfannenstiel, and Maylard incisions.

A paramedian incision below the umbilicus is made in a similar manner. Sign in via Shibboleth. Almost all operations in the abdomen and retroperitoneum can be performed through this universally acceptable incision Guillou et al, Surface markings of the right iliac fossa appendicectomy incision.

The specific problem is: Division of the peritoneum is best performed at the lower end of the incision, just above the umbilicus so that falciform ligament can be seen and avoided. View All Subscription Options.


This is usually referred to as Battle incision for short. Please review our privacy policy. Ten years’ experience and current approach.