Abdominal Incisions: Types & Phases of Abdominal Incisions

Most often, incisions are made on the belly during an emergency surgery or planned surgical procedure. Laparoscopic surgery may have reduced the need for large abdominal incisions, but certain conditions still call for them. These kind of information are provided in night and weekend LPN programs (diploma programs) to gain scope of practice.

What Does Abdominal Incision Mean?

A cut is made in the skin of the abdomen to reveal the abdominal organs or to facilitate a surgery or procedure .

What Factors Are Considered When Selecting an Incision Type?

Incisions are chosen by the surgeon based on certain factors.

• Accessibility of the affected organ or suspected pathology in clinical settings.
• Incisions that can be extended in nursing process.
• Maintaining abdominal wall function.
• Closure of the incision that is reliable and secure.

Other factors, such as:

• Type of abdominal surgery (elective vs. emergency)
• Need for rapid entry into the belly.
• Your diagnosis is particular.
• Target organ
• The location of scars from previous surgery.
• Weight and height are important factors to consider when determining the patient’s body habits.
• Possible bleeding of a significant amount.
• Cosmetic result.
• Experience and preferences of the surgeon & health care provider.

Types of Abdominal Incisions and Their Uses

Cuts heal over time but can temporarily weaken abdominal muscles and affect normal abdominal wall muscles function. There are different types of abdominal incisions and their uses in variety of settings.

For more major knowledge, nursing student can easily enroll in licensed practical nurse programs near me of Verve College (community college) with pre-requisite courses & can learn the patient care strategies, acquire a evidence-based practice & understand vital signs.

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• Vertical Incisions
  • Incisions made in the middle of your abdominal (belly) are called median or midline incisions. This is the preferred method of open surgery (laparotomy), as it provides easy access to your entire abdomen. It is almost bloodless and poses a minimal risk to blood vessels, nerves or epigastric vessels.
  • Incisions made on the abdomen (belly) are 2-5 cm apart from the midline. This allows access to the tummy’s structures, such as the stomach and liver. This medical procedure avoids nerve injury, limits trauma, and allows for a good recovery afterward.
• These transverse incisions are more cosmetically pleasing. They are more durable and less painful. They are easy to access in the upper digestive system. Children’s tummies are wider transversely and vertically, so they can be used for surgeries. It is also used for surgeries on people with disabilities. Overweight Have you heard of the word? Short stature. Transverse incisions can reduce the risk of wound dehiscence. The bursting of the abdomen wall). These incisions do increase the risk of organ protrusion through the abdominal wall.
• Pfannenstiel incisions are the most commonly used incisions for muscle separation. These incisions are often used to treat women with reproductive and urinary problems. Cesarean deliveries are often performed with them because of their cosmetic appearance. Also known as bikini cuts, they are made just 5 cm above your pubic area. Most are 12 cm long and 5 cm above the pubic area.
• Cherney’s Incisions: These incisions are made lower, 2-3 cm below the groin. These incisions allow for easy access to pelvic organs when performing vaginal or urinary bladder repair surgery. Reattaching the tendons is difficult because they detach the tendon.
• Maynard’s Incisions: These are accurate muscle-cutting cuts. The genital organs have adequate exposure. The incisions are placed parallel to Pfannenstiel’s traditional placement. These incisions are as famous for cesarean deliveries as Pfannenstiel’s in healthcare facilities, and they are used for cancer surgery.
• Incisions made with modified Gibson: These are incisions that are used during surgery relating to the women’s reproductive systems or cancer. The cuts are made along the midline of your abdomen (belly). They are usually only made on the left.
• Incisions oblique muscles: These are made to expose specific organs.
  • McBurney’s incisions are explicitly used for appendectomy. (appendix resection operation). The incisions are made at the intersection of the middle and outer thirds of the line that runs between the navel and the upper edge of the pelvic girdle.
  • Incisions below the midline: They start at this point. These incisions extend outward from the lower edge to the chest rib at nursing homes. They are usually 2-5 cm below the lower part of the sternum. The gallbladder, spleen, and liver are easily accessible. These are commonly used in gallstone removal procedures under nursing care.

What Are the Risks of Abdominal Incisions and Their Complications?

These are the complications that can arise from abdominal incisions:

• Hematoma
• Stitch abscess
• Wound infection
• Opening a wound up
• Fistula (hole formation)
• Wound pain
• Incisional hernia
• Scarring

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Many surgeons and healthcare professionals who graduated from LPN schools near me now use mini-incisions that are as small as keyholes (laparoscopic surgery) to reduce the complications associated with incisions in a variety of healthcare settings & long-term care facilities.