Eardrum within two to four weeks. The prognosis becomes more guarded as the force of injury increases. The pressure of fluid in an infected middle ear onto the eardrum may cause it to rupture. Usually this consists of a small hole (perforation), which allows fluid to drain out. If this does not occur naturally, a myringotomy (tympanotomy, tympanostomy) can be performed. A myringotomy is a surgical procedure in which a tiny incision is created in the eardrum to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear. The fluid or pus comes from a
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