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Abdominal Surgery Incisions Guide

The document lists and describes 9 common abdominal incisions: 1) Kochers incision for open cholecystectomy. 2) Upper midline incision for gastric, duodenal, and cholecystectomy surgery. 3) Roof-top or bilateral subcostal incision for pancreatic surgery. 4) Upper paramedian incision for cholecystectomy. 5) Loin or oblique incision for renal surgery. It then discusses various types of stomas including their locations, appearances, and potential complications.

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Mohit Kumar
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877 views4 pages

Abdominal Surgery Incisions Guide

The document lists and describes 9 common abdominal incisions: 1) Kochers incision for open cholecystectomy. 2) Upper midline incision for gastric, duodenal, and cholecystectomy surgery. 3) Roof-top or bilateral subcostal incision for pancreatic surgery. 4) Upper paramedian incision for cholecystectomy. 5) Loin or oblique incision for renal surgery. It then discusses various types of stomas including their locations, appearances, and potential complications.

Uploaded by

Mohit Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Abdominal Incisions

1. Kochers /Right Subcostal Open Cholecystectomy

2. Upper Midline Gastric Surgery


Duodenal Surgery
Cholecystectomy

3. Roof-Top/ Bilateral Subcostal Pancreatic Surgery

4. Upper Paramedian Cholecystectomy

5. Loin/Oblique Renal Surgery

6. Lanz (McBurneys Point) Appendisectomy

7. Lower Midline Colonic Surgery


Major Modern Gynae
Any “older” Gynae inc
Caesarean

8. Inguinal Inguinal Hernia

9. Pfannestiel Modern “routine” Gynae

Full midline ( xiphisternum to pubis) Trauma Surgery


Aortic Surgery
Stomas
Remember “Like Shotguns….Single or Double Barrelled”

Common Types: Colostomy End


Loop
Mucous Fistula
Ileostomy End
Loop
Urostomy

Colostomy
End Permanent
Usually LIF
2 common ops APR (no anus)
Hartmanns
Usually flat to skin
Solid faeces in bag

Loop Can be temporary or permanent


RUQ or LIF
Usually present to relieve
obstruction
or to protect downstream
If new (< 10 days) may have
plastic rod

Mucous Fistula

Non-functioning proximal end of


distal colonic remnant
Often no bag….no faeces
Ileostomy End RIF
Following Total Colectomy
Proud from skin (2cm nipple)
Liquid faeces

Loop RIF
Indications same as loop
colostomy
Proud from skin

Urostomy Ileal conduit


Looks like ileostomy
Usually RIF
Urine in bag

Complications of Stomas

1. Retraction
2. Prolapse
3. Stenosis
4. Ischaemia (usually new ones only)
5. Parastomal herniation
6. Polyps and underlying disease
7. Surrounding skin problems
Common Abdominal
Incisions

1 2 3

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