The midline anterior abdominal incision

 

The midline anterior abdominal incision

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Extension: from the xiphoid to the pubic symphysis.

Advantage or use of this incision

1.       Bloodless

2.      No muscle cut

3.      No nerves divided

4.      Less complication during incision

5.      Rapid and easy closer possible

6.      When wide exposure is required

Disadvantage / need to be careful

The upper region of the midline contains the ligamentum teres and the falciform ligament; therefore, the peritoneum should open just to the left or right of the midline to prevent damage to this structure.

Following structure cut during this incision

1.       Skin,

2.      Subcutaneous fascia and  fatty tissue,

3.        Linea alba, is formed by the union of aponeuroses (of the muscles of the anterior abdominal wall) that collectively make up the rectus sheath.

4.       Transverse fascia

5.      Extra-peritoneal fat and

6.      Peritoneum