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WHY NOT PFANNENSTIEL’S INCISION?

From the Department of Obstetrics and Gynecology. Redhill Groups of Hospitals and Lurgan and Portadown Hospital, United Kingdom, from 1966 to 1968

The technic for Pfannenstiel's incision has been discussed Kith special reference to adequate exposure without cutting the rectus muscles. Results with this technic in 143 patients were compared with those in 197 in whom a vertical incision was made. With Pfannenstiel*s incision, there were no incisional hernias, whereas 6 occurred -with the vertical incision. Wound hematomas and/or infections occurred nine times more frequently with the vertical as compared with Pfannenstiel's incision. Abdominal wounds had to be resutured in 15 patients with vertical incisions but in only I patient with Pfannenstiel's incision. Postoperative evisceration did not occur with Pfannenstiel's incision but did occur in 2 patients with vertical incisions. To minimize postoperative morbidity, which is many times higher with the vertical incision, Pfannenstiel's incision should and can be tried in most obstetric and gynecologic surgical From