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A model recently had invasive surgery (non-laparoscopic) to remove stones from h

ID: 89659 • Letter: A

Question

A model recently had invasive surgery (non-laparoscopic) to remove stones from her gallbladder and she is now concerned about the scar developing on her abdomen. At her follow-up appointment, she tells her surgeon there is practically no scar from the appendectomy procedure (also invasive and non-laparoscopic) she had when she was 16 but this new scar is "gross" and is negatively going to impact her modeling career. Her appendectomy scar is small, obliquely located on the inferior abdominal surface, and is very light and indistinct. By contrast, the gallbladder scar is large, lumpy, and runs at right angles to the central axis of her trunk. Provide a reasonable explanation as to why the scars are so different.

Explanation / Answer

Appendectomy is a procedure done to remove an inflamed appendix causing pain to the patient. It is situated in right iliac fossa. The incision taken for it is at McBurney's point which is at the two-third distance of the imaginary line joining anterior superior iliac spine(ASIS) to umbilicus. After incision, appendix can be directly taken out after separating the abdominal layers, so the incision required is small and easily healed with small scar. While for the cholecystectomy i.e. gall bladder removal incision required is large as it is situated behind the liver which has to to be retracted up before removing gall bladder. So that incision required is bigger and leaves a poor scar.

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