Selection of incisions for gynecologic procedures

Progress is being made in the employment of abdominal incisions. The use of mass closure has greatly decreased the incidence of disruption. The avoidance of subcutaneous sutures has likewise decreased the rate of wound infections, and modern aggressive management has lessened the time that patients must contend with incisional abscesses when they do occur. There will always be considerable discussion and debate on the choice of an abdominal incision. However, the primary consideration remains always to choose and construct a surgical incision large enough to operate through comfortably and effectively.