What is transverse incision?
Abstract. Transverse incisions may provide adequate access to the pelvis and pelvic regional nodes, but relatively poor access to the upper abdomen. They are more easily concealed under clothing than the more versatile vertical midline incision. Transverse fascial incisions may heal more securely than vertical ones.
What are transverse incisions used for?
Purpose: Both midline and transverse abdominal incisions are used for exposing the infrarenal aorta. Transverse incisions are said to cause less pulmonary and systemic complications, but the claimed advantages may be because most transverse incisions are extraperitoneal, whereas midline incisions are intraperitoneal.
What is a transverse abdominal incision?
An upper abdominal transverse incision, which is a high Maylard incision, is made approximately 2 cm above the umbilicus. The incision is extended laterally and caudad to the anterior superior iliac spines.
Is vertical or horizontal incision better?
The transverse incision results in significantly less postoperative pain and fewer pulmonary complications. Vertical laparotomy, however, is associated with shorter operating time and better possibilities for extension of the incision.
What are the types of surgical incisions?
Issues of Concern
- Midline Incisions. Also known as the laparotomy incision, or celiotomy, this is the most traditional of surgical incisions.
- Kocher Incisions (Subcostal)
- Para-median Incision.
- Gridiron Incision (McBurney Incision)
- Lanz (Rockey-Davis)
- Thoracoabdominal (Iver Lewis)
- Chevron.
- Pfannenstiel (Kerr/Pubic incision)
Why did I get a vertical C-section?
A vertical incision on the uterus causes less bleeding and better access to the fetus, but renders the mother unable to attempt a vaginal delivery (must have another repeat C-section) in the future.
Are C-section scars vertical or horizontal?
There are two types of incisions a surgeon may use during a C-section: vertical and horizontal. Both incisions are equally likely to scar, but the scar will look different depending on its direction. On the other hand, horizontal incisions are more common in planned C-sections.
Why do surgeons avoid making vertical Pararectal incisions?
Pararectal incision Disadvantages include disruption of the innervation to the rectus lying medially.
What is a surgical incision called?
An incision is a cut through the skin that is made during surgery. It is also called a surgical wound. Some incisions are small, others are long. The size of the incision depends on the kind of surgery you had. Sometimes, an incision breaks open.
How many types of incisions are there?
Abdominal incisions are of three types: Transverse incision. Vertical incision. Oblique incision.
When to use a transverse skin incision in St?
Contrarily, surgeons typically use a transverse skin incision in ST, and a vertical skin incision has only been used in case of an emergency, as this can be implemented quickly [5]. In addition, a transverse skin incision allows for improved healing and more esthetic outcomes than do conventional incisions.
Can a vertical incision be used in a tracheostomy?
In surgical or open tracheostomy for an acute airway emergency, a vertical skin incision may be required for rapid access to the trachea. However, the vertical incision should not be used routinely as it is a cosmetically unappealing direction of skin incision resulting in a more esthetic outcome than transverse incisions.
What are the odds of a vertical incision?
The pooled odds ratio for burst abdomen in the vertical incision group was 2.86 (95% confidence interval 1.72 to 4.73, p = 0.0001), and regarding late incisional hernia the pooled odds ratio was 1.68 (95% confidence interval 1.10 to 2.57, p = 0.02).
When was the transverse suprapubic incision first used?
II Since its initial description in 1897 by Pfannenstiel,1a transverse suprapubic incision has been used frequently in both obstetric and gynecologic surgeries. As initially described, the Pfannenstiel incision includes dissection of the rectus muscles from the overlying fascia and ligation of any perforating vessels encountered.