Pfannenstiel incision

Pfannenstiel incision is a type of surgical incision that is commonly used in gynecology, obstetrics, and urology. Named after the German gynecologist Hermann Johannes Pfannenstiel, this incision is made in the lower abdomen, just above the pubic bone.

History

The Pfannenstiel incision was first described by Hermann Johannes Pfannenstiel in 1900. It was initially used for gynecological surgery, but has since been adopted for use in other surgical specialties.

Procedure

The Pfannenstiel incision is made horizontally across the lower abdomen, approximately 2 cm above the pubic symphysis. The skin and subcutaneous tissue are incised, followed by the rectus abdominis fascia. The rectus muscles are then separated in the midline to expose the peritoneum, which is then incised to enter the abdominal cavity.

Uses

The Pfannenstiel incision is commonly used in gynecological surgeries such as hysterectomy and cesarean section. It is also used in urological surgeries such as prostatectomy and cystectomy.

Advantages

The Pfannenstiel incision offers several advantages over other types of surgical incisions. It provides good exposure of the pelvic organs, causes less postoperative pain, and results in a less noticeable scar.

Disadvantages

Despite its advantages, the Pfannenstiel incision also has some disadvantages. It provides limited access to the upper abdomen, and there is a risk of injury to the bladder or bowel during the procedure.

Complications

Possible complications of the Pfannenstiel incision include wound infection, hematoma, seroma, and incisional hernia.

See also

• Surgical incision
• Hermann Johannes Pfannenstiel
• Gynecology
• Obstetrics
• Urology

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