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Obstetrics & Gynecology 2002;99:745-750
© 2002 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Pfannenstiel Versus Maylard Incision for Cesarean Delivery: A Randomized Controlled Trial

Pierre-Ludovic Giacalone, MD, Jean-Pierre Daures, MD, Jacques Vignal, MD, Christian Herisson, MD, Bernard Hedon, MD and François Laffargue, MD

From the Department of Obstetrics and Gynecology, Hôpital Arnaud de Villeneuve; the Clinical Research Center, Biostatistics Unit; and the Department of Physiotherapy, Hôpital Lapeyronie, University of Montpellier, Montpellier, France.

Address reprint requests to: Pierre-Ludovic Giacalone, MD, Hopital Arnaud de Villeneuve, Department of Obstetrics and Gynecology, 371 rue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France; E-mail: pl-giacalone{at}chu-montpellier.fr.

OBJECTIVE: To compare the Pfannenstiel incision with transverse muscle-cutting Maylard incision in women who had cesarean delivery.

METHODS: Patients were assigned randomly to a Pfannenstiel or Maylard incision. Postoperative ttreatment was similar for each group. Surgical characteristics, complications, postoperative pain (visual analog scale, analgesic use), and related quality of life (1- and 3-month self-administered questionnaires) were analyzed. Abdominal wall muscle recovery was compared objectively by dynamometer.

RESULTS: Fifty-four women had a Pfannenstiel incision and 43 had the Maylard incision. There were no differences in intraoperative characteristics, postoperative morbidity, or pain. Women’s responses to the Nottingham Health Profile questionnaire at 1 and 3 months postoperatively and clinical and isokinetic testing for abdominal wall strength were similar between the two groups.

CONCLUSION: Transecting the rectus muscle was no more deleterious than the Pfannenstiel incision. There was no difference in objectively measured abdominal wall strength.






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