Surgical Video Clips of Transverse Incision from Insulinoma: Enucleation Resection, Norman W. Thompson, MD (17 min), Transverse incision: skin and subcutis A transverse incision is made midway between the umbilicus and the xiphoid process, through the skin and subcutis. Transverse incision: anterior sheath The incision is carried down through rectus muscle and anterior fascia using electrocautery. Transverse incision: posterior sheath Posterior fascia and peritoneum are divided using electrocautery. The omentum is exposed. Back to Clinical Update Home | Welcome | Basic Science | Managing Your Residency | Board Review | Opportunities | Links | Contributors | Contact Us