Which of the following incisions is used during an open gastrotomy procedure?

During an open gastrotomy procedure, the upper paramedian incision is commonly employed due to its advantages in providing access to the stomach while minimizing damage to surrounding structures. The upper paramedian incision allows for a direct approach to the upper abdomen, facilitating the manipulation of the stomach and adjacent organs with less tension on the abdominal wall than some other incision types.

This incision is positioned medial to the midline, which permits better exposure to the upper gastrointestinal tract, particularly during procedures that target the stomach. The choice of this incision balances surgical access with considerations of healing and postoperative discomfort. Other incision types may not offer the same level of access or may compromise the vascular supply to the surrounding tissues, making them less ideal for this specific type of surgery.

The midline incision is also a popular choice in many abdominal surgeries; however, the upper paramedian incision provides a more tailored approach for accessing the stomach and is preferred for gastrotomy.