Steps: opposite the side of expected pathology. For pelvic surgery, the surgeon stands on the side that will allow the dominant planned incision is marked, if desired. If there is any possibility of an ostomy, …

Apr 23, 2023 · The midline incision (no. ①) is used for a wide array of abdominal surgery, as it allows the majority of the abdominal viscera to be accessed. A midline laparotomy can run anywhere from …

Dec 12, 2018 · When making a surgical incision, the surgeon must attend the following key principles whenever possible: 1. Try to follow Langer’s lines for maximal wound strength with minimal scarring; …

Midline incisions or median incisions: These incisions are made on the midline of your abdomen (belly). It is mostly favored in open surgery for diagnostic purposes (laparotomy) because it allows wide …

Oct 5, 2024 · A midline incision is often preferred in urgent or emergent cases due to its quick access, the ability to extend the incision as needed, and largely avascular plane.

Jun 3, 2024 · This article discusses the anatomy of the abdominal wall, anatomy of the rectus sheath and common types of abdominal surgical incisions.

Nov 9, 2025 · Learn what is a midline incision, a common abdominal surgery technique, its key features, recovery process, potential risks, and comparison to other methods.

For cystectomy, a lower midline incision reaching from the symphysis to just above the umbilicus is done. For nephrectomy, a laparotomy incision from the xiphoid to just below the umbilicus is often …

Indeed, when optimal exposure of the entire abdominal cavity is necessary (eg, exploration for abdominal trauma), the vertical midline incision is preferred and can be extended superiorly to the …

May 31, 2025 · 1. Midline Incision Location: Along the linea alba (center of abdomen) Advantages: Quick, minimal blood loss, good exposure Uses: Emergency laparotomy, exploratory surgery, bowel …