A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, multiple incisions are possible for an operation, and one must be chosen by the surgeon. Sometimes these choices are made based on preference, but also to avoid predictable problems, such as putting a new incision close to a recent one, which can compromise the blood flow to the skin in between the two incisions. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery. In the words of the Nobel Prize winning physician Emil Theodor Kocher, a surgical incision "must be as long as necessary and as short as possible". Correct placement can reduce the length of the incision.
Anatomy
Surgical incisions are planned based on the expected extent of exposure needed for the specific operation planned. Within each region of the body, several incisions are common.
Head and neck Wilde's incision – This post-aural incision is used for a variant mastoiditis drainage, and was named after Sir William Wilde, an ENT surgeon in Dublin who first described it at the end of the nineteenth century. His son, Oscar Wilde's, death was stated by his doctors to be due to meningitis stemming from an ear infection. He had recently had an operation, believed by some to be a mastoidectomy.
Chest Median sternotomy – This is the primary incision used for cardiac procedures. It extends from the sternal notch to the xiphoid process. The sternum is divided, and a Finochietto retractor used to keep the incision open. Thoracotomy – A division of the ribs from the side of the chest.
Abdomen and pelvis
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