Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 2 , Pages 120-123, June 2009

Pfannenstiel Versus Maylard Incision for Gynecologic Surgery: A Randomized, Double-Blind Controlled Trial

  • Zinat Ghanbari

      Affiliations

    • ValiAsr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
    • ,
  • Bahareh Haji Baratali

      Affiliations

    • ValiAsr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
    • ,
  • Tahereh Foroughifar

      Affiliations

    • ValiAsr Hospital, Tehran University of Medical Sciences, Tehran, Iran
    • ,
  • Maryam Deldar Pesikhani

      Affiliations

    • ValiAsr Hospital, Tehran University of Medical Sciences, Tehran, Iran
    • ,
  • Mamak Shariat

      Affiliations

    • Maternal-Fetal-Neonatal Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
    • Corresponding Author InformationCorrespondence to: Dr Mamak Shariat, Maternal-Fetal-Neonatal Health Research Center, ValiAsr Hospital, Keshavarz Boulevard, 14194 Tehran, Iran

Accepted 3 July 2008.

Article Outline

Summary 

Objective

The aim of this study was to compare the effects of the transverse muscle-cutting Maylard incision and the Pfannenstiel incision for hysterectomies, in terms of postoperative complications, pain, and quality of life.

Materials and Methods

This randomized, double-blind study compared two laparotomy techniques. All hysterectomies were performed for benign conditions. Eighty cases were randomly assigned to receive either Pfannenstiel or Maylard incisions. Measured intraoperative variables included volume of blood loss and duration of surgery. Postoperative variables included abdominal distension, postoperative pain, and quality of life.

Results

Postoperative abdominal distension was significantly lower in the Maylard group (p = 0.004). There were no differences in intraoperative characteristics and duration of hospitalization, hemorrhage volume, or duration of surgery between the two groups.

Conclusion

Hysterectomy performed via the Maylard incision was associated with the use of fewer additional analgesics than hysterectomy performed via the Pfannenstiel incision.

Key Words:  gynecologic surgery , Maylard incision , Pfannenstiel incision

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Benrubi GJ . History of hysterectomy . J Fla Med Assoc . 1988;15:533–538
  2. Pfannenstiel J . On the advantages of a transverse cut of the fascia above the symphysis for gynecological laparotomies, and advice on surgical methods and indications . Samml Klin Vortr Gynakol . 1897;68–98
  3. Maylard AE . Direction of abdominal incision . Br Med J . 1907;2:895–901
  4. Lee-Parritz A . Surgical techniques for cesarean delivery: what are the best practices? . Clin Obstet Gynecol . 2004;47:286–298
  5. Helmkamp BF , Krebs HB . The Maylard incision in gynecologic surgery . Am J Obstet Gynecol . 1990;163:1554–1557
  6. Scribner DR , Kamelle SA , Gould N , et al.   A retrospective analysis of radical hysterectomies done for cervical cancer: is there a role for the Pfannenstiel incision? . Gynecol Oncol . 2001;81:481–484
  7. Giacalone P , Daures J , Vignal J , Herisson C , Hedon B , Laffargue F . Pfannenstiel versus Maylard incision for cesarean delivery: a randomized controlled trial . Obstet Gynecol . 2002;99:745–750

PII: S1028-4559(09)60270-9

doi:10.1016/S1028-4559(09)60270-9

Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 2 , Pages 120-123, June 2009

Article Tools