Biliary or hepatic procedures. May be
extended across to a left subcostal incision to give useful access to the
stomach and pancreas.
General access. Usually skirts the
umbilicus. Quick and bloodless.
Appendicectomy. Muscle layers are split,
rather than cut.
Appendicectomy. No longer used because it
produces an ugly scar and sometimes incisional hernia. Often seen in older
Appendicectomy. A better cosmetic result
General access. Left or right according
General access. Almost always used in
infants, and often in adults.
8. Rutherford Morison
Access to sigmoid colon and pelvis,
particularly if the midline is very scarred from previous surgery.
9. PfannenstielAccess to bladder, uterus, Fallopian tubes and ovaries. Good cosmetic result but gives no access outside the pelvis.