Abdominal Scars
August 18th, 2017
Overview
Scars on the abdomen can suggest past surgery, trauma, burns and healed skin conditions.
Common Abdominal Surgical Scars
- AMidline laparotomy: xiphoid process to above or below the umbilicus
Most abdominal procedures - BParamedian: either side of the midline
Lateral structures - kidney, adrenals, spleen - CSubcostal: diagonally and parallel to the costal margin on either side.
Gallbladder, biliary tract, spleen - DChevron: bilateral subcostal incision meeting in the midline
Gastrectomy, B/L adrenalectomy, liver surgery - ELoin: transverse, from lateral mid-abdomen to flank
Kidneys - FMcBurney's: oblique incision made two thirds of the way from the umbilicus to the right anterior superior iliac spine.
Appendicectomy - GLanz: transverse incision across McBurney's point
Appendicectomy (better scar healing) - HPfannenstiel: long, convex incision along the suprapubic crease
Lower GIT, urinary tract, reproductive organs incl. caesarean - Laparoscopy: 3-4 small incisions on the abdomen; one at the umbilicus.
Laparoscopic procedures
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