Incision, Exposure, Closure

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


This chapter discusses the initial steps in any surgical procedure: incision and exposure of the surgical field. Fundamental principles are stressed throughout. Different types of surgical retractors are described. Finally, the general principles of wound closure (particularly abdominal incisions) are described.


Hiatus Hernia Midline Incision Rectus Muscle Falciform Ligament Steel Bridge 
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Further Reading

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  3. Harlaar JJ, Deerenberg EB, van Ramshorst GH, Lont HE, van der Borst EC, et al. A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions. BMC Surg. 2011;11:20.PubMedCrossRefGoogle Scholar
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  9. Seller CM, Bruckner T, Diener MK, Papyan A, Golcher H, Seidlmayer C, Franck A, Kieser M, et al. Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial. Ann Surg. 2009;249:576.CrossRefGoogle Scholar
  10. Wind GG, Rich NM. Laparotomy. In: Principles of surgical technique. Baltimore: Urban & Schwarzenberg; 1987. p. 177–200.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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