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 2024/11/10 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.