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Surgeries for Benign Gynecologic Disorders

What are some advantages of the vertical midline laparotomy incision?

a. Minimal blood loss

b. Access to the upper abdomen

c. Easy wound extension if greater space or access is needed

d. All of the above

Which of the following incision types carries the greatest risk for fascial dehiscence, such as that shown here in the computed tomography image?

a. Cherney

b. Maylard

c. Pfannenstiel

d. Midline vertical

When extending a vertical midline laparotomy incision cephalad, why is the incision typically arched to the left around the umbilicus?

a. Improves cosmesis

b. Avoids incising the ligamentum teres

c. Decreases the risk of wound infection

d. Decreases the risk of wound dehiscence

Which of the following nerves may be damaged by allowing a self-retaining retractor blade to rest on the psoas major muscle?

a. Sciatic nerve

b. Femoral nerve

c. Pudendal nerve

d. Common fibular nerve

Which nerve may commonly be injured when creating a low transverse laparotomy incision?

a. Femoral nerve

b. Pudendal nerve

c. Genitofemoral nerve

d. Iliohypogastric nerve

Which artery is frequently encountered in the subcutaneous layer when creating a low transverse laparotomy incision?

a. Inferior epigastric artery

b. Deep circumflex iliac artery

c. Superficial epigastric artery

d. Deep circumflex femoral artery

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