Intermediate
Technical
IVT
counter-incision
Additional small incision made to facilitate specimen removal or improve surgical access during laparoscopy.
Full Definition
A supplementary surgical incision created during laparoscopic procedures to enhance visualization, provide better instrument access, or enable specimen extraction. Counter-incisions are typically placed strategically to optimize surgical geometry and avoid the limitations of fixed port positions. They may be temporary working ports or designed specifically for specimen removal when the primary ports are inadequate for safe extraction of tissues or organs.
Usage
Usage note: Hyphenate when used as a compound modifier; distinguish from conversion to open surgery.
In Context
- "A small counter-incision was made at the umbilicus to facilitate safe specimen extraction." — operative report
- "The counter-incision provided the necessary triangulation for precise suturing." — surgical technique description
Also known as
auxiliary incision
additional port
accessory incision
Contrasted with
primary incision
main port
Don't confuse with
extension incision
conversion incision