Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

What type of incision is commonly used for upper abdominal surgeries?

1. Vertical midline incision

2. Transverse incision

3. Subcostal incision

4. Paramedian incision

The correct answer is: Subcostal incision

The subcostal incision is commonly used for upper abdominal surgeries due to its anatomical advantages and the accessibility it provides to various abdominal organs. This incision follows the contour of the rib cage and is typically made just below the costal margin. It offers excellent exposure for procedures involving the liver, gallbladder, and pancreas, which are located in the upper abdominal region. Furthermore, the subcostal incision allows for a relatively wide operative field while minimizing damage to muscle and other structures, facilitating better healing post-surgery. Its design can also be advantageous for cosmetic outcomes, as it is less noticeable than other incision types once healed. This makes it a preferred choice among surgeons for upper abdominal interventions.