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15 Cards in this Set
- Front
- Back
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If a patient has an old incision, is it best to make a subsequent incision next to or through the old incision? |
Through the old incision, or excise the old incision because it has scar tissue that limits the amount of collaterals that would be needed to heal an incision placed next to it |
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What is used to incise the epidermis? |
Scalpel blade |
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What is used to incise the dermis? |
Scalpel or electrocautery |
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Where is a "Kocher" incision? |
R subcostal incision for open cholecystectomy |
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Where is a "midline laparotomy" incision? |
Incision down the middle of abdomen along and through the linea alba |
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Where is a "McBurney's" incision? |
Small, oblique RLQ incision for an appendectomy through McBurney's point (1/3 from anterior superior iliac spine to umbilicus) |
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Where is a "Rocky-Davis" incision? |
Like a McBurney's incision except transverse (straight across) |
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Where is a "Pfannenstiel" (fan-en-steel) incision? |
Low transverse abdominal incision with retraction of the rectus muscles laterally; most often used for gynecologic procedures |
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Where is a "kidney transplant" incision? |
Lower quadrant; kidney placed extraperitoneally |
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Where is a "liver transplant" incision? |
Mercedes-Benz incision in the upper abdomen |
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Where is a "median sternotomy" incision? |
Midline sternotomy incision for heart procedures; less painful than a lateral thoracotomy |
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Where is a "thoracotomy" incision? |
Usually through the 4th or 5th intercostal space; may be anterior or posterior lateral incisions
Very painful, but many are performed with muscle sparing (muscle retraction and not muscle transection) |
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Where is a "CEA" incision? |
Carotid Endarterectomy - Incision down anterior border of the sternocleidomastoid muscle to expose the carotid |
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Where is an "inguinal hernia repair (open)" incision? |
Lower quadrant but more midline |
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Where is a "laprascopic cholecystectomy" incision? |
Four trocar incisions (one at level of xyphoid, one a couple of inches lower along rib, another a couple of inches lower along rib, and another midline by belly button) |
