25.若以腹側近中線切開（ventral paramedian incision）法進行乳牛帝王切開術，下列切創部位何者正確？
(A)腹中線與左側皮下腹靜脈間、臍孔後至乳房前緣
(B)腹中線與右側皮下腹靜脈間、臍孔後至乳房前緣
(C)腹中線與左側皮下腹靜脈間、劍突下方8公分處至臍孔前
(D)腹中線與右側皮下腹靜脈間、劍突下方8公分處至臍孔前

以下資訊參考Turner and McIlwraiths Techniques in Large Animal Surgery以及屏科大李旭薰老師上課講義，若有誤請多加指教

牛的帝王切開術有三種術式

1. Ventral for the flank approach (左腹脅部切開)

2. Ventral paramedian incision (B選項)

3. Ventrolateral oblique approach

圖片來源：Schultz, L. G., Tyler, J. W., Moll, H. D., & Constantinescu, G. M. (2008). Surgical approaches for cesarean section in cattle. The Canadian Veterinary Journal, 49(6), 565.

可以從腹中線，也可以從右側切開

原文是寫說有些人覺得右側腹壁縫合會比腹中線縫合來的安全

以下原文

Recumbent ventral paramedian celiotomy

This approach is similar in most respects, including the advan-tages and contraindications, to  the  ventral  midline approach (1,12). The  abdominal  wall  incision  is  placed  parallel  and approximately 5 cm lateral to the linea alba (Figure 2). Some authors have postulated that the abdominal wall closure of the paramedian approach is more secure than that of the ventral midline approach. This makes little sense. Neither the internal sheath of the rectus abdominis muscle, nor the rectus abdominis muscle  has  substantial  holding  properties  and  it  would seem that a 1-layer abdominal closure is easier and, hence, preferable to a 3-layer closure.

對了，如果是腹脇部做帝王切開的話一樣是從左邊開

資料及圖檔來源：https://www.researchgate.net/publication/5228507_Surgical_approaches_for_cesarean_section_in_cattle#pf2