RT Book, Section
A1 Hoffman, Barbara L.
A1 Schorge, John O.
A1 Halvorson, Lisa M.
A1 Hamid, Cherine A.
A1 Corton, Marlene M.
A1 Schaffer, Joseph I.
SR Print(0)
ID 1171667248
T1 Surgeries for Benign Gynecologic Disorders
T2 Williams Gynecology, 4e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260456868
LK accessmedicine.mhmedical.com/content.aspx?aid=1171667248
RD 2024/04/25
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.