(GENERAL) QUESTIONS AND
COMPLETE SOLUTIONS
True or False: There are usually 2 or 3 incision options for structures - it's up to the doctor which you
do. ANSW✅✅True
What direction are Vertical/Longitudinal incisions? ANSW✅✅Up and down
What direction are Oblique incisions? ANSW✅✅Diagonal, on an angle
What direction are Transverse incisions? ANSW✅✅Side to side, across
What are some things that determine the incision chosen? ANSW✅✅- Organs being worked on
- The procedure
- Surgeon's preference
- What you're dealing with (emergency, etc.)
Where does the upper midline incision go from? ANSW✅✅Xiphoid process to the umbilicus
What organs is the upper midline incision used to gain access to? ANSW✅✅- Stomach
- Diaphragm
- Lower esophagus
What organs is the lower midline incision used to gain access to? ANSW✅✅Pelvic organs like
- Intestines
- Bladder
- Uterus
- Prostate
, Where does the lower midline incision go from? ANSW✅✅Umbilicus to the pubic symphysis
What is the full midline incision used for? ANSW✅✅When you need access to everything to
explore the entire abdominal cavity to find like trauma (common with emergencies)
Where does the full midline incision go from? ANSW✅✅Xiphoid process down to the pubic
symphysis, around the umbilicus
Where are paramedian incisions made? ANSW✅✅2 inches from the midline either right or left
What organs is a right upper paramedian incision used to gain access to? ANSW✅✅- Liver
- Gallbladder
- Biliary system
What organs is a left upper paramedian incision used to gain access to? ANSW✅✅- Spleen
- Stomach
What organs is a right lower paramedian incision used to gain access to? ANSW✅✅- Appendix
- Ascending colon
What organs is a left lower paramedian incision used to gain access to? ANSW✅✅- Pancreas
- Sigmoid colon
Which incision is used to gain access to the appendix for appendectomies (but not if it's ruptured), is
a small incision and doesn't give a lot of exposure? ANSW✅✅McBurney's
Where is a McBurney's incision located? ANSW✅✅Lower right side, diagonal incision
What are inguinal oblique incisions used to gain access to? ANSW✅✅- Inguinal canal
- Spermatic cord
- Inguinal hernias