Incision, Exposure, and Closure

  • Jameson L. Chassin


Many dangerous surgical mishaps occur because the operative exposure is inadequate. The first step in obtaining good exposure is a well-planned incision of sufficient length.


Incisional Hernia Midline Incision Necrotizing Fasciitis Suture Material Abdominal Closure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Aldrete JS et al. (1977) Scientific exhibit at Clinical Congress Am Coll Surgeons. Dallas TXGoogle Scholar
  2. Efron G (1965) Abdominal wound disruption. Lancet 1: 1287PubMedCrossRefGoogle Scholar
  3. Goligher JC et al. (1975) A controlled clinical trial of three methods of closure of laparotomy wounds. Br J Surg 62: 823PubMedCrossRefGoogle Scholar
  4. Jacobs HB (1974) Skin knife-deep knife: The ritual and practice of skin incisions. Ann Surg 179: 102PubMedCrossRefGoogle Scholar
  5. Jenkins TPN (1976) The burst abdominal wound—a mechanical approach. Br J Surg 63: 873PubMedCrossRefGoogle Scholar
  6. Jones TE et al. (1941) The use of alloy steel wire in the closure of abdominal wounds. Surg Gynecol Obstet 72: 1056Google Scholar
  7. Lally JJ (1967) New exposure instrument for the upper abdomen. Int Surg 47: 396PubMedGoogle Scholar
  8. Lancet Editorial (1977) Burst abdomen. Lancet 1: 28Google Scholar
  9. Malt RA (1977) Abdominal incisions, sutures and sacrilege. N Engl J Med 297: 722PubMedCrossRefGoogle Scholar
  10. Martyak SN, Curtis LE (1976) Abdominal incision and closure. Am J Surg 131: 476PubMedCrossRefGoogle Scholar
  11. Sanders RJ et al. (1977) Principles of abdominal wound closure—I. Animal studies. Arch Surg 112: 1184PubMedGoogle Scholar
  12. Spencer FC et al. (1963) Experiences with wire closure of abdominal incisions in 293 selected patients. Surg Gynecol Obstet 117: 235PubMedGoogle Scholar
  13. Tera H, Aberg C (1976) Tissue strength of structures involved in musculo-aponeurotic layer sutures in laparotomy incisions. Acta Chir Scand 142: 349PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.School of MedicineNew York UniversityUSA
  2. 2.University Hospital, New York University Medical CenterUSA
  3. 3.New York Veterans Administration HospitalUSA
  4. 4.Bellevue HospitalUSA
  5. 5.Long Island Jewish-Hillside Medical CenterUSA

Personalised recommendations