How do surgeons know where to cut?

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asked Nov 7 in Other- Health by comicalopion (830 points)
How do surgeons know where to cut?

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answered Nov 7 by RCallahan (18,110 points)
Surgeons know where to cut by using anatomical landmarks, marking the skin, doing imaging tests, through endoscopies and sometimes through robotic surgery.

Surgeons go through years of medical training on the surgery and from their experience they often know where to cut to fix the problem.

To mark the skin surgeons will use an indelible skin marker to write the first letter of their first and last name on the surgical site and then make an incision through the ink like it were a bull's eye.

Surgeons look for landmarks on the body which tells them where to cut.

Cutting cautery seals small blood vessels as it goes through tissue and produces an almost bloodless surgical field.

The incision that provides the most secure wound closure is a transverse incision.

A transverse incision provides the most wound closure because it aligns with the natural orientation of your abdominal fascia fibers and allows the sutures to be placed perpendicular to the fibers and creates greater inherent strength when compared to a vertical incision which disrupts the fascial fibers.

The disadvantages of a midline incision are increased risk of hernia formation and dehiscence as well as pain, cosmesis, analgesia use and pulmonary compromise.

Another disadvantage of a midline incision are possible postoperative complications which include fistula formation, surgical site infection and incisional hernia.

Midline incisions can also result in a less aesthetically pleasing scar and cause more pain than transverse incisions.

A midline incision is commonly used in emergency surgery situations.

The midline incision is a vertical cut down the middle of your abdomen along the linea alba which provides quick and rapid access to your abdominal cavity with minimal blood loos which makes it ideal for emergency surgery requiring quick intervention.

The midline incision has wide access and allows exposure to a large area of your abdomen which is very crucial in emergency situations where the exact source of the problem may not be immediately clear.

The midline incision also cuts through the linea alba which is a naturally avascular plane that helps to minimize bleeding during surgery and also enables surgeons to rapidly and quickly access your abdominal cavity in critical situations.

Linea alba surgery is a surgical procedure that is done to repair your linea alba which is a fibrous structure in your abdomen which helps to stabilize the core and anchor the abdominals.

The different types of linea alba surgery include laparoscopic reconstruction of linea alba dehiscence surgery which is a one time surgical procedure that restores the position of your rectus abdominis muscles and involves implanting a mesh that protects the linea alba.

An endoscopic assisted linea alba reconstruction surgery that uses a small access route to repair the incisional hernia.

And a single incision laparoscopic approach that is a minimally invasive procedure that treats linea alba hernia in children.

The function of the linea alba is to keep your right and your left abdominal muscles separated and also stabilize the abdominal wall.

The linea alba also functions to transfer force between opposite sides of the abdominal wall, anchor abdominal muscles and absorb force.

The linea alba helps to absorb pressure and force that is applied to the abdomen and act like an anchor in your torso, connecting to the obliques and transverse abdominis muscles.

The function of linea is to serve as an attachment point for muscles and help to stabilize and support the surrounding areas.

The linea alba in the abdomen which is a well known example and separates your right and your left rectus abdominis muscles and acts as an anchor for your abdominal wall and allows for controlled movement and pressure management.

The linea semilunaris incision is an incision that is made 1 cm lateral to your linea semilunaris during abdominal surgery.

Linea semilunaris is the curved tendinous line in your abdominal wall where your lateral abdominal muscles meet the rectus sheath.

The inguinal triangle is a region in your lower abdominal wall and is defined by the inferior epigastric vessels, the inguinal ligament and the lateral border of your rectus abdominis muscle which is marked by the linea semilunaris.

The linea semilunaris is a curved line on your anterior abdominal wall which represents the lateral edge of your rectus abdominis muscle and essentially forms the medial border of the inguinal triangle.

The reason the linea semilunaris is curved is because the 9th ribs are farther apart than the pubic tubercles are.

Semilunaris is a Latin word for (having a curved or half moon shape) and is used in medical descriptions and medical names.

The linea semilunaris is formed and derived by the aponeurosis of your internal oblique muscle that meets the rectus abdominis muscle.

The linea semilunaris of Douglas is a curved line that is found posterior to your rectus abdominis muscle bilaterally, at about one third the distance between your umbilicus and your pubic symphysis.

It's also the point where the tendons of your lateral abdominal muscles meet your rectus sheath, which also surrounds your rectus abdominis muscle.

The linea semilunaris is also called the Spigelian line and semilunar line.

The linea semilunaris is a curved and vertical line in your anterior abdominal wall which marks the junction of your lateral abdominal muscles and your rectus sheath.

The linea semilunaris runs between your pubic tubercle and your cartilage of your ninth rib on either side of your body.

The function of the linea semilunaris is to provide strength, mobility and flexibility to your lateral abdominal muscles.

Your linea semilunaris is an important anatomical landmark for surgeons during abdominal wall repairs and dissection.

The linea semilunaris is also a weak area of the abdominal wall and can be susceptible to hernias.

The initial longitudinal incision should also be placed 1 cm lateral to the linea semilunaris.

Commonly, the fascial planes are quite distinct and allow for easy dissection.

The plane between your external and the internal oblique may be opened out to the posterior axillary line.

The lateral borders of the muscles create a surface marking known as the linea semilunaris.

At several places, the muscle is intersected by fibrous strips, known as tendinous intersections.

Spigelian hernias can occur in your lateral abdominal wall through a defect in the linea semilunaris (the fibrous union between the rectus sheath and the aponeuroses of the transverse and oblique abdominal muscles).

They are often usually due to a congenital or acquired weakness of the aponeurosis.

The primary function of the linea alba is to keep the right and left abdominal muscles separated.

The obliques and the transverse abdominis (your other abdominal muscles) also connect to the linea alba, making it like an anchor in your torso.

It also helps absorb force or pressure to your abdomen.

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