Dr. med. Dirk Manski

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Flank Incision: Indications, Anatomy and Surgical Technique

fig. flank incision

Flank incision: the patient is placed in a lateral position on a flexed operation table.

Urologic Indications for a Flank Incision

Kidney Surgery

Surgery of the Ureter

Patient positioning:

The patient is placed in a lateral position on a flexed operation table, see fig. flank incision.

Flank incision: patient positioning and skin incision.
figure Flank incision: patient positioning and skin incision

Flank Incision: Surgical Technique

Wound closure:

The muscles are closed in two layers, either with a continuous running suture (monofilament, elastic, slowly absorbable, suture size USP 0 or 1) or an interrupted suture. The first layer includes the transverse abdominal muscle and the internal oblique abdominal muscle. The second layer closes the external oblique, serratus anterior, and latissimus dorsi muscle.

Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


J. L. Duque, K. R. Loughlin, and S. Kumar, “Morbidity of flank incision for renal donors.,” Urology, vol. 54, no. 5, pp. 796–801, 1999.

J. A. Smith, S. S. Howards, G. M. Preminger, and R. R. Dmochowski, Hinman’s Atlas of Urologic Surgery Revised Reprint. Elsevier, 2019.

M. C. Kriegmair et al., “Single- vs multiple-layer wound closure for flank incisions: results of a prospective, randomised, double-blinded multicentre study.,” BJU international, vol. 127, no. 1, pp. 64–70, 2021.

  Deutsche Version: Flankenschnitt