Question

What is the most common incisional approach for appendectomy?

1) McBurney incision
2) Lanz incision
3) Paramedian incision
4) Midline incision

Answer 1

The most common incisional approach for an appendectomy is the McBurney incision, which provides ease of access to the appendix and generally results in less postoperative pain and quicker recovery.

Step-by-step explanation:

The most common incisional approach for an appendectomy is the McBurney incision. This oblique incision in the right lower quadrant of the abdomen is specifically positioned about one-third the distance from the anterior superior iliac spine to the umbilicus. The McBurney incision is favored due to the ease of access it provides to the appendix and the relatively limited size of the incision, which often correlates with less postoperative pain and faster recovery for the patient. Alternative approaches include the Lanz incision, paramedian incision, and midline incision, each with specific indications depending on the clinical scenario.