Bikini incision

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This article discusses the anatomy of the abdominal wallanatomy of the rectus sheath and common abdominal surgical incision types Midline, Paramedian, Pararectal, Gridiron, Lanz, Pfannenstiel, Transverse, Kocher. The abdominal cavity is an ovoid space bounded cephalad by the diaphragm and inferior thoracic margin, caudally by the pelvic brim, posteriorly by the lumbar spine along with quadratus lumborum, psoas major and iliacus, and anterolaterally by the retaining musculature of the abdominal wall. The muscles of the abdominal wall play a major role in supporting ventilation, forcing the diaphragm cephalad in order to increase intrathoracic pressure to aid expiration, and allowing it to contract into the abdomen to decrease pressure for inspiration.

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A potential problem with the posterior approach is that it cuts through the capsule at the back of the joint. Dislocation is a bad complication — the patient needs to go to hospital, usually by ambulance. The alternate anterior approach carries a significant risk of fracture — usually around the hip, but there have been reported instances of knee injuries and ankle fractures from the use of a traction table.

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Website: www. The bikini hip replacement is minimally invasive Anterior Hip Replacement technique that is soft-tissue sparing and vessel sparing preserving lateral circumflex blood vessels compared to the standard incision anterior hip replacement scar. It has an aesthetically pleasing cosmetic scar along the natural "Langhers lines" of the skin - that can be hidden under the "bikini" or underwear.

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Dr Michael Leunig CH. This instructional video describes what the bikini approach is, using the Direct Anterior Approach for total hip arthroplasty THAand gives a step by step description on how the incision is made and approach is done. Minimally invasive total hip arthroplasty THA has gained in popularity in recent years.

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It is used for gynecologic and orthopedics surgeries, [2] and it is the most common method for performing Caesarian sections today. This incision is also used in Stoppa approach for orthopedics surgeries to treat pelvic fractures. The Pfannenstiel incision offers a large view of the central pelvis but limits exposure to the lateral pelvis and upper abdomen, factors that limit the usefulness of this incision for gynecologic cancer surgery.

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Patient Login. Surgery is always a major event in one's life. In order to minimize the cosmetic effect, without jeopardizing the performance of the implant, a bikini incision in the groin region is used for a hip replacement procedure.

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Bikini Hip Replacement is a variation on the Anterior Approach for hip replacement. The resultant surgical scar is aesthetically hidden when wearing underwear or swimwear e. The only difference between the bikini hip replacement surgical technique and the traditional anterior approach is the orientation of the skin incision.

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Aims: The classical longitudinal incision used for the direct anterior approach DAA to the hip does not follow the tension lines of the skin and can lead to impaired wound healing and poor cosmesis. The purpose of this retrospective study was to determine the satisfaction with the scar, and functional and radiographic outcomes comparing the classic longitudinal incision with a modified skin crease 'bikini' when the DAA is used for total hip arthroplasty THA. The positioning of the components, rates of heterotopic ossification HO and rates of revision were assessed.

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Recently, a bikini type oblique incision has been proposed to improve cosmetic appearance of the surgical scar following primary THA, particularly, in the female patient population. Leunig et al. At 6 months of follow-up, patients who underwent THA through a bikini incision were more satisfied in the aesthetic appearance of the scar.

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