TY - CHAP M1 - Book, Section TI - Surgeries for Benign Gynecologic Disorders A1 - Hoffman, Barbara L. A1 - Schorge, John O. A1 - Halvorson, Lisa M. A1 - Hamid, Cherine A. A1 - Corton, Marlene M. A1 - Schaffer, Joseph I. Y1 - 2020 N1 - T2 - Williams Gynecology, 4e AB - Abdominal entry is the first step for many gynecologic surgeries. Incisions are vertical or transverse, and each offers particular advantages. Vertical incisions may be midline or paramedian, but of the two, the midline is predominantly chosen. This incision offers quick entry, minimal blood loss, superior access to the upper abdomen, generous operating room, and the flexibility for easy wound extension if greater space or access is needed. No important neurovascular structures traverse this incision. Thus, it may be favored for patients using anticoagulation agents. Despite advantages, midline incisions are more frequently associated with greater postoperative pain, poorer cosmetic results, and higher risk of wound dehiscence or incisional hernia compared with low transverse incisions (Bewö, 2019; Grantcharov, 2001). For those with prior laparotomy, the incision type is typically repeated for subsequent surgeries. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/13 UR - accessmedicine.mhmedical.com/content.aspx?aid=1171667248 ER -