Abdominal scars - summary
Complete list
1 - Kocher's Incision
- Biliary surgery eg. Cholecystectomy
- Hepatic surgery (may also require a larger transverse incision for wider access: eg. Liver Transplant)
2 - Upper Midline laparotomy
- Nissens fundoplication
- observe: associated with Gastrostomy tube?
- Upper GI surgery
2a - Lower / Long Midline Laparotomy Scars
- Any major abdominal surgery
3 - Transverse Upper Abdominal Incision
- Repair of congenital diaphragmatic hernia
- Splenic surgery
4 - Ramstedt's Pyloromyotomy Scar
- Ramstedt's Pyloromyotomy Scar - treatment of Pyloric Stenosis
5 - Grid-Iron Incisions at McBurney's Poiint
- Appendicectomy
- A non-inflamed appendix should always be removed once this scar has been made so that clinicians are not mislead in the future.
- Called the 'Grid-Iron' incision due to the way the muscle layers are divided at operation.
- McBurney's Point: the junction of the distal third and
proximal two thirds of the line between the umbilicus and the anterior
superior iliac crest.
6 - Umbilical / Sub-umbilical Scars
- Hernia repairs
- Gastroschisis repair
- Exomphalos
7 - Point incision marks
- Laparoscopy port sites
- Drain sites
- Also consider abdominal wound sites for Ventriculo-Peritoneal shunts
8 - Inguinal Incisions
- Inguinal hernia repairs
- Vascular access scars
9 - Lateral Thoracolumbar Incision
- Renal Surgery - eg. Nephrectomy
10 - 'Hockey-Stick' scar
- Examine for orthotopic renal transplant
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