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Dec 12, 2018 · Chevron / rooftop incision: the extension of the incision to the other side of the abdomen; used to access the oesophagus, the stomach, and the liver. Mercedes Benz incision: Chevron incision with a vertical incision and break through the xiphisternum; same indication as Chevron incision, but mostly performed in liver transplantation.
Apr 24, 2023 · The chevron incision is one that crosses the midline of the abdomen. It is a sub-costal incision that extends from the mid to lateral costal ridge, across the midline to the contralateral side. This approach may provide valuable exposure for hepatic, pancreatic, upper gastrointestinal region, adrenal, or renal surgeries.
Apr 23, 2023 · Two modifications and extensions of the Kocher incision are possible: Chevron / rooftop incision or modification (no. ④) – the extension of the incision to the other side of the abdomen. This may be used for oesophagectomy, gastrectomy, bilateral adrenalectomy, hepatic resections, or liver transplantation
Jan 2, 2020 · For complex kidney tumors requiring access to the chest, a bilateral subcostal incision with the cephalad median sternotomy extension (Mercedes incision) or a high thoracoabdominal incision can give maximum exposure.
Kustner’s incision – A transverse incision is made 5 cm above the symphysis pubis but below the anterior iliac spine. The subcutaneous tissue is then separated in the midline and the linea alba is exposed. A vertical midline incision is made through the linea alba.
Feb 27, 2023 · A rooftop incision, also called a chevron, is a subcostal incision on each side that joins at the midline. It allows access to all of your epigastric organs, including organs that pass through the middle of the region and both kidneys or both adrenal glands at the sides.
Jun 3, 2024 · 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 .
