Pfannenstiel incision


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Pfan·nen·stiel in·ci·sion

(fahn'ĕn-shtēl),
an incision made transversely, and through the external sheath of the recti muscles, about 1 inch above the pubes, the muscles being separated at the midline in the direction of their fibers.

Pfannenstiel incision

Surgery A transverse curved abdominal incision with downward convexity, above the symphysis pubis; the PI passes through the skin, superficial fascia, and aponeurosis, and exposes the pyramidalis and rectus muscles, which are separated at the midline, after which the peitoneum is opened vertically Used for Abdominal hysterectomy

Pfan·nen·stiel in·ci·sion

(fahn'ĕn-shtēl in-sizh'ŭn)
An incision made transversely, and through the external sheath of the recti muscles, about an inch above the pubes, the muscles being separated at the midline in the direction of their fibers.

Pfannenstiel,

Hermann Johann, German gynecologist, 1862-1909.
Pfannenstiel incision - an incision made transversely and through the external sheath of the recti muscles, about an inch above the pubes.
Pfannenstiel transverse approach
References in periodicals archive ?
Through the years, the overall incidence of incisional hernia with a Pfannenstiel incision remains low at 0%-0.
The formation of a hernia at the right lateral aspect of the Pfannenstiel incision most likely preceded the appendicitis in our case.
Recurrent Pfannenstiel surgery has previously been found to be a predictor of chronic pain after Pfannenstiel incision (18), but our results do not support such as association.
Loos et al found that emergency caesarean section was a significant risk factor for new persisting pain after Pfannenstiel incision (18).
Patient selection: After taking informed written consent 93 female patients of age group 20-65 years, ASA physical status I and II, undergoing elective total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy (BSO) using Pfannenstiel incision under spinal anesthesia were enrolled in the study.
Of the 504 patients with adhesions, 62% had a prior abdominal wall incision, 22% had a prior Pfannenstiel incision, and 16% had a prior laparoscopic incision.
Repeat Pfannenstiel incision through previous scar was made to enter the abdominal cavity.
When dealing with a large fibroid uterus, not wanting to use a vertical skin incision and hoping to limit the size of a Pfannenstiel incision, it can be difficult to elevate the uterus out of the incision to start a hysterectomy or myomectomy.
In the procedure, the bladder is first instilled with a mixture of normal saline and indigo carmine, and a Pfannenstiel incision is made into the abdominal cavity.
All patients received epidural anesthesia and delivered by planned Pfannenstiel incision.
We were attempting to remove a fairly large uterus through a Pfannenstiel incision, but visualization was terrible.