Different surgical approaches and incisions ,Bailey and love based

1. SURGICAL APPROCHES
&INCISIONS

2. SURGICAL APPROCHES
• OPEN SURGERY
• MINIMALLY INVASIVE –LAPROSCOPY &ROBOTIC SX

3. OPEN SURGERIES
• Abdominal
• Total thyroidectomy
• Modified radical mastectomy ,etc

4. LAPROSCOPIC SURGERIES

5. ROBOTIC SURGERIES

6. SKIN INCISIONS
• With scalpel
• No oblique incision
• Blades –curved cutting margin for skin &sharp tip for arteriotomy

7. • When planning a skin incision 4 factors should be considerd
1.skin tension lines (langers line)

8. 2.Anatomical structures –bones nerves and vessels
3.Cosmetic factors
4.Adequate acess for the procedure

9. Abdominal incisions

10. • When planning an incision –acess to the relevant organ ,surface
landmarks,pain control and cosmetic outcome
• Transverse incision –fewer respiratory and better cosmosis
• Open in layers
• Closure –mass closure ,”jankins rule “

11. COMMON INSTRUMENTS
• RETRACTORS
1.Langenbeck retractor

12. 2. Morris retractor

13. 3.Deaver retractor

14. 4.Dyball retractor

15. 5.Jolls retractor

16. 6.West retractor

17. • Mcindoe scissors

18. • Debakey forceps

19. • Gillies forceps

20. • Allis forceps

21. • Babcock forceps

22. • Spencer well forceps