The success of any open surgical procedure requires, in part, a wisely chosen incision based upon sound anatomic principles.
Incisions for open abdominal surgery will be reviewed here. Closure of the abdominal wall and complications of abdominal wall incisions are discussed separately. (See "Principles of abdominal wall closure" and "Complications of abdominal surgical incisions".)
A well-planned incision should provide ready access to anticipated pathology and provide adequate exposure, but allow for extension if the scope of operation needs to be expanded. The incision should interfere minimally with abdominal wall function by preserving important abdominal structures, and heal with adequate strength to reduce the risk of wound disruption and subsequent incisional hernia. (See "Anatomy of the abdominal wall" and "Complications of abdominal surgical incisions".)
Additional considerations in selecting the type of incision include:
●Need for rapid entry