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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

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