3/31/2018 Modified Gibson Incision - Wikipedia

Modified Gibson Incision

The Modified Gibson incision is a transverse incision above the pubis, frequently used in gynecological and
urological surgeries. This incision can be made on either side of the midline, but often on the left. It is started 3 cm
above and parallel to the inguinal ligament and extended vertically 3 cm medial to the anterior superior iliac spine up
to the umbilicus.[1] The modified Gibson incision allows proper access to the small bowel and pelvic organs and
limited access to omentum. It is also possible to have tactile assessment of large bowel and subdiaphragmatic surfaces
using this incision. This incision is preferred for lymph node dissection, as extra peritoneal approach of pelvic sidewall
is possible.[2][3] The superior epigastric vessels and round ligament are ligated to provide easy exposure. If traction to
the peritoneum is high, there is a chance for avulsion of the inferior mesenteric artery and inferior mesenteric vein.

References
1. Malhothra, Narendra; Puri, Randhir (2014). Operative Obstetrics and Gynaecology (2 ed.). New Delhi: Jaypee
Brothers Medical Publishers. ISBN 9789351521617.
2. Shafi, Mahamood (2010). Gynaecological Oncology. Cambridge University Press. ISBN 9780521730242.
3. Eric, Beiber; Sanfilippo, Joseph. Clinical gynaecology. Cambridge University Press. ISBN 9781107040397.

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This page was last edited on 29 December 2017, at 20:17.

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