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Abdominal Scars

 
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Overview

Scars on the abdomen can suggest past surgery, trauma, burns and healed skin conditions.
  • Abdominal Scars
  • Common Abdominal Surgical Scars

  • A
    Midline laparotomy: xiphoid process to above or below the umbilicus
    Most abdominal procedures
  • B
    Paramedian: either side of the midline
    Lateral structures - kidney, adrenals, spleen
  • C
    Subcostal: diagonally and parallel to the costal margin on either side.
    Gallbladder, biliary tract, spleen
  • D
    Chevron: bilateral subcostal incision meeting in the midline
    Gastrectomy, B/L adrenalectomy, liver surgery
  • E
    Loin: transverse, from lateral mid-abdomen to flank
    Kidneys
  • F
    McBurney’s: oblique incision made two thirds of the way from the umbilicus to the right anterior superior iliac spine.
    Appendicectomy
  • G
    Lanz: transverse incision across McBurney’s point
    Appendicectomy (better scar healing)
  • H
    Pfannenstiel: 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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