What is the middle line cut?
Cut of medium line is a vertical cut made in the abdomen to allow access to one of the many medical procedures. This cut can be made in the upper or lower abdomen, or can run from the upper part to the bottom of the abdominal cavity. The cut of the middle line allows the doctor to access the internal organs including the stomach, the pancreas, the bladder and the liver. It is commonly used during traumatic surgery, where immediate access to a wide range of internal organs is necessary.
The abdominal cavity area requiring access will dictate the type of medium line cut that the surgeon decides to use. In order to achieve the upper abdomen, the upper middle line (UMI) is usually used. For UMI, a vertical cut is made from the xiphoid process, a small triangular bone that sits on the base of the breast bone. This incision extends to Umbilicus and allows access to the liver, stomach, spleen and esophagus.
Acces to the lower part of the abdominal cavity is used lower cut of the middle line. Cut in thatThis usually runs from Umbilicus to protective symphysis. This reveals the uterus, a sigmoid large intestine and a bladder. Such a cut is often used when the surgeon removes cancer including female reproductive organs for other problems such as hernia.
There are times when it is not certain which area of the abdomen must be exposed. This is especially true if the patient has serious trauma and the damaged area is not easily determined. In such cases, a medium line cut is often used, which leads along the entire length of the abdomen, and creates an opening from the xiphoid process at the top down to the hair on the bottom. Such a cut allows the surgeon to have a full view of the entire abdomen, allowing doctors to find and repair the problems faster.
It is important when closing such large holes that care is taken to fully hold all layers of abdominal skin and muscle. The surgeon usually closes all layers of tissue, leather and muscle afterThe second and use very small stitches. This helps to prevent hernia forming that can cause serious problems to the patient and in many cases may require further surgery.