Type of Incisions: Paramedian Contributed by Mika Sinanan, MD and his staff at the University of Washington Medical School Paramedian incisions are rarely used. This incision provides little additional exposure beyond a midline incision. The blood and nerve supply to the abdominal wall enters from either side and may cross the midline poorly. For this reason paramedian incisions have an increased risk of rendering part of the abdominal wall anesthetic and ischemic. The result is poor wound healing and increased risk of hernias. Video Resource: Incisions, Donald G. Gallup, M.D. 1991 (VHS 28 minutes) available from Ciné-Med's ACS/USSC Educational Library (General Interest Topics) Back to Incision Index Home | Welcome | Clinical Update | Managing Your Residency | Basic Science Board Review | Opportunities | Links | Contributors | Contact Us