Start your free 3-day trial — no credit card required, full access included
The surgical procedure is described here by way of example, based on a patient with a midline laparotomy scar and complete adhesiolysis.
After appropriate sterile washing and draping, the pre-existing scar is excised; if necessary, the incision can also be extended cranially and caudally.
Tip: Before scar excision, always check if enough skin is available. Otherwise, the skin closure will be under tension, leading to unsightly scars and wound healing disorders.
Afterwards, the subcutaneous adipose tissue is severed; this is done sharply with the scalpel or using diathermy.
Tip: after previous operations, small incisional hernias are often found. This then leads directly into the abdomen after severing the adipose tissue. If bowel segments are adherent here, they can be easily injured.
Exposing the fascia, which is sharply opened in the midline with the scalpel.
Tip: After previous operations, the fascia should always only be opened with the scalpel. Regularly adherent bowel segments would be quickly injured by diathermy, while the bowel “gives way” to the carefully dissecting scalpel.
Activation of this course for 3 days.
Most popular offer
Combine our learning modules flexibly and save up to 50%.
US$88.58/ yearly payment
Unlock all courses in this module.
US$177.20 / yearly payment
Webop is committed to education. That's why we offer all our content at a fair student rate.
