Wednesday 15 June 2016

General Appearances of the Abdominal Wall-Infection of the Umbilicus-Surgical Incisions

General Appearances of the Abdominal Wall
The normal abdominal wall is soft and pliable and undergoes inward and outward excursion with respiration. The contour is subject to considerable variation and depends on the tone of its muscles and the amount of fat in the subcutaneous tissue. Well-developed muscles or an abundance of fat can prove to be a severe obstacle to the palpation of the abdominal viscera
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Infection of the Umbilicus
In the adult, the umbilicus often receives scant attention in the shower and is consequently a common site of infection.

Surgical Incisions
If possible, all surgical incisions should be made in the lines of cleavage where the bundles of collagen fibers in the dermis run in parallel rows. An incision along a cleavage line will heal as a narrow scar, whereas one that crosses the lines will heal as wide or heaped-up scars.

 




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