Which Incision to Take

  • Anirudha Rohit Podder
  • Jyothi G Seshadri


One of the keys to success of any surgery is taking the right incision. The possibility of successfully accomplishing a difficult case is severely restricted if the incision is inappropriate. The use of laparoscopy as a diagnostic tool cannot be underestimated. Surgery is sometimes the ultimate diagnostic tool—when clinical assessment, laboratory investigations, and imaging are inconclusive, “opening and seeing” is necessary to find out what the exact pathology is. Even if a gynecologist cannot accomplish the surgery laparoscopically and has to convert the case into a laparotomy, one should not be embarrassed about it, since taking a transverse incision directly can turn out to be inadequate. Not only might the proposed surgery have to be deferred, or may require the incision to be converted into an inverted T incision, but it may also result in injuries due to inadequate exposure and excessive retraction.


  1. 1.
    Tsai MC, Candy G, Costello MA, Grieve AD, Brand M. Do iatrogenic serosal injuries result in small bowel perforation in a rabbit model? S Afr J Surg. 2017;55(2):18–22.PubMedGoogle Scholar
  2. 2.
    Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol. 2012;53(11):795–9.CrossRefGoogle Scholar
  3. 3.
    Tarney CM. Bladder injury during cesarean delivery. Curr Womens Health Rev. 2013;9(2):70–6.CrossRefGoogle Scholar
  4. 4.
    Kapan S, et al. Rectus sheath hematoma: three case reports. J Med Case Rep. 2008;2:22.CrossRefGoogle Scholar
  5. 5.
    Burger JWA, van ‘t Riet M, Jeeke J. Abdominal incisions: techniques and postoperative complications. Scand J Surg. 2002;91:315–21.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Anirudha Rohit Podder
    • 1
  • Jyothi G Seshadri
    • 2
  1. 1.Consultant Gynaec-OncologistMahavir Cancer SansthanPatnaIndia
  2. 2.Department of Obstetrics and GynecologyRamaiah Medical CollegeBangaloreIndia

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