Dr. med. Dirk Manski

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Gibson Incision: Indications, Anatomy, and Surgical Steps

Urologic Indications

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

fig. gibson incision
Gibson incision: the arc-shaped incision starts 2 cm medial to the anterior superior iliac spine and continues to the rectus sheath's lateral border (3 cm cranial to the inguinal ligament).

Patient positioning:

Supine position with slight hyperextension of the lumbar spine.

Surgical Technique of a Gibson Incision

Wound closure:

Fascial closure in two layers with continuous running (monofilament, elastic, slowly absorbable, suture size USP 0 or 2-0) or interrupted sutures: the first suture reapproximates the internal oblique and transverse abdominal muscle, the 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