Myringotomy children, while local anesthesia suffices for adults. The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or "cold knife") myringotomy and usually heals in one to two days. A new variation (called "tympanolaserostomy" or "laser-assisted tympanostomy") uses CO laser, and is performed with a computer-driven laser and a video monitor to pinpoint a precise location for the hole. The laser takes one tenth of a
Modified Gibson Incision incision. This incision is preferred for lymph node dissection, as extra peritoneal approach of pelvic sidewall is possible. The inferior epigastric vessels and round ligament are ligated to provide easy exposure. If traction to the peritoneum is high, there is a chance for avulsion of the inferior mesenteric artery and inferior mesenteric vein. Modified Gibson Incision The Modified Gibson incision is a transverse incision above the pubis, frequently used in gynecological and urological surgeries. This incision can be made on either side of the midline, but often on the left. It is started 3 cm above and parallel to the