Surgical Scars - Abdomen

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This article describes common surgical scars which may be found during examination of a child's abdomen.

See also these assocated articles:

Surgical Scars - Abdomen

1 - Kocher's Incision

  • Biliary surgery eg. Cholecystectomy
  • Hepatic surgery (may also require a larger transverse incision for wider access: eg. Liver Transplant)

2 - Upper Midline laparotomy

  • Nissens fundoplication
    • observe: associated with Gastrostomy tube?
  • Upper GI surgery

2a - Lower / Long Midline Laparotomy Scars

  • Any major abdominal surgery

3 - Transverse Upper Abdominal Incision

  • Repair of congenital diaphragmatic hernia
  • Splenic surgery

4 - Ramstedt's Pyloromyotomy Scar

  • Ramstedt's Pyloromyotomy Scar - treatment of Pyloric Stenosis

5 - Grid-Iron Incisions at McBurney's Poiint

  • Appendicectomy
    • A non-inflamed appendix should always be removed once this scar has been made so that clinicians are not mislead in the future.
    • Called the 'Grid-Iron' incision due to the way the muscle layers are divided at operation.
    • McBurney's Point: the junction of the distal third and proximal two thirds of the line between the umbilicus and the anterior superior iliac crest.

6 - Umbilical / Sub-umbilical Scars

  • Hernia repairs
  • Gastroschisis repair
  • Exomphalos

7 - Point incision marks

  • Laparoscopy port sites
  • Drain sites
  • Also consider abdominal wound sites for Ventriculo-Peritoneal shunts

8 - Inguinal Incisions

  • Inguinal hernia repairs
  • Vascular access scars

9 - Lateral Thoracolumbar Incision

  • Renal Surgery - eg. Nephrectomy

10 - 'Hockey-Stick' scar

  • Examine for orthotopic renal transplant

Note: these lists are not exhaustive.

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