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Chassin's Operative Strategy in General Surgery pp 19–25Cite as

Incision, Exposure, Closure

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Abstract

This chapter discusses the initial steps in any surgical procedure: incision and exposure of the surgical field. Fundamental principles are stressed throughout. Different types of surgical retractors are described. Finally, the general principles of wound closure (particularly abdominal incisions) are described.

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Further Reading

  • Ceydelli A, Rucinski J, Wise L. Finding the best abdominal closure: an evidence-based review of the literature. Curr Surg. 2005;62:220.

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  • Harlaar JJ, Deerenberg EB, van Ramshorst GH, Lont HE, van der Borst EC, et al. A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions. BMC Surg. 2011;11:20.

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  • Masterson BJ. Selection of incisions for gynecologic procedures. Surg Clin North Am. 1991;71:1041.

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  • Millbourn D, Cengiz Y, Israelsson LA. Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg. 2009;144:1056.

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  • Rahbari NN, Knebel P, Diener MK, Seidlmayer C, Ridwelski K, Stoltzing H, Seiler CM, et al. Current practice of abdominal wall closure in elective surgery – is there any consensus? BMC Surg. 2009;9:8.

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  • Seller CM, Bruckner T, Diener MK, Papyan A, Golcher H, Seidlmayer C, Franck A, Kieser M, et al. Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial. Ann Surg. 2009;249:576.

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  • Wind GG, Rich NM. Laparotomy. In: Principles of surgical technique. Baltimore: Urban & Schwarzenberg; 1987. p. 177–200.

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Author information

Authors and Affiliations

  1. Department of Surgery, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 4622 JCP, Iowa City, IA, 52242, USA

    Carol E. H. Scott-Conner MD, PhD

  2. Department of Surgery, New York University School of Medicine, New York, NY, USA

    Jameson L. Chassin MD

Authors
  1. Carol E. H. Scott-Conner MD, PhD
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  2. Jameson L. Chassin MD
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Corresponding author

Correspondence to Carol E. H. Scott-Conner MD, PhD .

Editor information

Editors and Affiliations

  1. College of Medicine Department of Surgery, University of Iowa Roy J and Lucille A Carver, Iowa City, Iowa, USA

    Carol E.H. Scott-Conner

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© 2014 Springer Science+Business Media New York

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Scott-Conner, C.E.H., Chassin, J.L. (2014). Incision, Exposure, Closure. In: Scott-Conner, C. (eds) Chassin's Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1393-6_3

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  • DOI: https://doi.org/10.1007/978-1-4614-1393-6_3

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1392-9

  • Online ISBN: 978-1-4614-1393-6

  • eBook Packages: MedicineMedicine (R0)

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