www.surgicalnotes.co.uk

Approach

• Expose abdomen
• Position flat on bed

1. Inspect
   • Use correct names for scars
   • Don't guess at operation unless asked specifically to do so
   • Always thick of presence of incisional herniae - ask patient to demonstrate
2. Palpate
3. Percuss
4. Auscultate

Vascular surgery groin scars
Bypass scars
Saphenous vein harvesting sites
Pelvic acetabular surgery scars

Which operation?

1. Evidence of new or old stoma?
2. Evidence of a small incision on side of scar (for drain)?
3. Scars in groins