Dr. med. Dirk Manski

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Gibson Incision: Indications, Anatomy and Surgical Technique

Urologic Indications

In urology, a Gibson incision is used for kidney transplantation or as an extraperitoneal approach to the distal ureter with low morbidity.

Preoperative Patient Preparation

Surgical Technique of a Gibson Incision

fig. gibson incision

Gibson incision: the arc-shaped incision starts 2 cm medial to the spina iliaca ant. sup. and continues to the rectus sheath's lateral border (3 cm cranial to the inguinal ligament).

Wound closure:

Fascial closure in two layers with continuous running or interrupted sutures: first suture reapproximates the internal oblique and transverse abdominal muscle, second suture closures the external oblique abdominal 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. A. Smith, S. S. Howards, G. M. Preminger, and R. R. Dmochowski, Hinman’s Atlas of Urologic Surgery Revised Reprint. Elsevier, 2019.

  Deutsche Version: Schräger Unterbauchschnitt nach Gibson