Myringotomy could be relieved by myringotomy, which equalized the pressure on each side of the tympanic membrane. Widespread inappropriate use of the procedure later led to it falling out of use. However, it was reintroduced by Hermann Schwartze in the 19th century. An inherent problem became recognized, namely the tendency of the tympanic membrane to heal spontaneously and rapidly, reversing the beneficial effects of the perforation. In order to prevent this, a tympanostomy tube, initially made of gold foil, was placed through the incision to prevent it from closing. Ádám Politzer, a Hungarian-born otologist practicing in Vienna, experimented with rubber in
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