Myringotomy and tympanostomy, in parallel with the general distinction between an -otomy (cutting) and an -ostomy (creating a stoma with some degree of permanence or semipermanence). In this distinction, only a tympanostomy involves tympanostomy tubes and creates a semipermanent stoma. This distinction in usage is not always made. The word "tympanocentesis" specifies that centesis (aspiration for sampling) is being done. Etymologically, "myringotomy" ("myringo-", from Latin "myringa" "eardrum", + "-tomy") and "tympanotomy" ("tympano-" + "-tomy") both mean "eardrum cutting", and "tympanostomy" ("tympano-" + "-stomy" means "making an eardrum stoma". In 1649, Jean Riolan the Younger accidentally pierced a patient's ear drum while
Modified Gibson Incision 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 inguinal ligament and extended vertically 3 cm medial to the anterior superior iliac spine up to the umbilicus. The modified Gibson incision allows proper access to the small bowel and pelvic organs and limited access to omentum. It is also possible to have tactile assessment of large bowel and subdiaphragmatic surfaces using this