What is a Kocher incision?
The Kocher incision is a subcostal incision on the right side of the abdomen used for open exposure of the gallbladder and biliary tree. This incision is just inferior and parallel to the subcostal margin. Unlike the midline incision, it is not an avascular plane.
What is evisceration wound healing?
Evisceration of a Surgical Wound Evisceration is a rare but severe surgical complication where the surgical incision opens (dehiscence) and the abdominal organs then protrude or come out of the incision (evisceration). 3 Evisceration is an emergency and should be treated as such.
What are common causes of wound evisceration?
There are four main causes of wound evisceration: suture tearing through the fascia, knot failure, suture failure, and extrusion of abdominal contents between sutures placed too far apart. The most common and important factor is suture tearing through the fascia.
What is the curvilinear incision?
The curvilinear incision allows an adequate exposure of the suboccipital bone to the level of the posterior fossa floor. Therefore, the surgeon can open the arachnoid membranes over the cisterna magna to release CSF and relieve intracranial tension immediately after the dura opening.
What is a sagittal midline incision?
(A) A midline sagittal incision is performed from the coccyx to the posterior margin of the anus, all around the anal margin itself, and completed with a midline incision from the anterior margin of the anus through the perineal body up to the posterior boundary of genitalia.
What is difference between dehiscence and evisceration?
Dehiscence is secondary to technical failure of sutures, shear forces from tension, or fascial necrosis from infection and/or ischemia (2). Evisceration is the uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.
What is dehiscence wound?
Wound dehiscence (dih-HISS-ints) is a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together.
What is the difference between Deviscence and evisceration?
What is thoracoabdominal incision?
ABSTRACT The left thoracoabdominal incision is ap- proaching its first century of use. Its history is reviewed. The incision provides wide exposure of the spleen, stomach, left hemidiaphragm, aorta, and esophagus; expo- sure is not limited to the distal esophagus.
What is gridiron incision?
A gridiron incision involves an arcing incision through the skin, subcutaneous fat and fascia, external and internal obliques, transversus abdominis and transversalis fascia. It is commonly used for open appendicectomies.
What do you need to know about the kocher incision?
The Kocher incision is not to be confused with the Kocher Maneuver, which describes the mobilization of the second and third portion of the duodenum and the pancreatic head. The subcostal incision is also used for access to the liver for wedge resections; for the adrenal gland on either side; and the spleen if on the left side.
How is the Kocher Langenbeck approach to the acetabulum performed?
The dorsocranial articular acetabulum is also accessible either through the fracture gap or after a capsulotomy. The Kocher-Langenbeck approach can be performed either in the prone (as illustrated) or lateral position. The maintenance of knee flexion (at 90°) and hip extension throughout the procedure reduces tension on the sciatic nerve.
How are the layers of the incision closed?
The incision is closed in two or three layers; usually the inner two layers are closed with a running absorbable suture, and the outer layer (external oblique and anterior rectus fascia) with either running or absorbable suture.
Which is the best position for Kocher Langenbeck?
The Kocher-Langenbeck approach can be performed either in the prone (as illustrated) or lateral position. The maintenance of knee flexion (at 90°) and hip extension throughout the procedure reduces tension on the sciatic nerve.