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

Ghanbari, Zinat; baratali, B.H.; Foroughifar, Tahereh; Pesikhani, Maryam Deldar; Shariat, Mamak

doi:10.1016/s1028-4559(09)60270-9

Cited by 6 publications

(7 citation statements)

References 3 publications

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“…The Maylard incision, used in this case, is a transverse incision indicated during hysterectomy when additional exposure of the abdominal, pelvic, and retroperitoneal cavities is required [ 15 , 16 , 17 ]. It is associated with a low rate of hernia formation and low rate of mortality, and, ordinarily, the peritoneum is not closed with this surgical approach [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal hernia following abdominal hysterectomy: A case report

Kwon

Dai

Sauer

2022

Case Reports in Women's Health

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Section: Discussionmentioning

confidence: 99%

Peritoneal hernia following abdominal hysterectomy: A case report

Kwon

Dai

Sauer

2022

Case Reports in Women's Health

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“…At first sight it seems quite aggressive and disrespectful to the tissues. However, there are studies comparing Maylard incision with other abdominal incisions and reporting similar intraoperative and postoperative results [5,9]. The most important advantage of Maylard incision is the extent of pelvic exposure [9,10].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Pfannenstiel and Maylard incisions for total abdominal hysterectomies in large uterus

Karadağ¹,

Karasu²,

Korkmaz³

et al. 2017

Clin. Exp. Obstet. Gynecol.

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Purpose: To compare transverse muscle cutting Maylard incision and the Pfannenstiel incision in hysterectomies for large uterus. Materials and Methods: Ninety-five patients who underwent hysterectomy for myomatous uteri, larger than 14 weeks of gestation were included in the study. Results: The average intraoperative blood loss was lower in the Maylard group compared to Pfannenstiel group (114.65 cc and 129.04 cc p < 0.001, respectively). The mean operative time was shorter in the Maylard group with 73.9 minutes comparing to the Pfannenstiel group with 81.9 minutes (p < 0.001). There were no differences in postoperative additional analgesic requirements and postoperative 24-hour VAS scores in two groups (p = 0.8 and p = 0.231, respectively). Conclusion: The Maylard incision may be preferred in the patients whose uterus is larger than 14 weeks. Maylard incision may provide better pelvic view and shorter operative time in these patients. Although blood loss during surgery was less in the Maylard group, the authors believe that this amount of difference is not clinically important.

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“…17 An abdominal incision is performed to allow adequate intraoperative exposure. 18 In a 1996 article written by Yuen et al, 17 it was reported that laparoscopy was increasing in popularity in the management of benign ovarian masses. Benefits of laparoscopy include reductions in operative morbidity, hospital stay, and recovery time.…”

Section: Discussionmentioning

confidence: 99%

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma

Kaeser

McDonald²,

Kettner

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this case is to describe findings of a mature cystic teratoma and to further provide differential diagnoses for ovarian pelvic masses and calcifications. Clinical Features: A 27-year-old woman presented to a chiropractic teaching clinic with a chief complaint of chronic multilevel spinal pain. During a full spine radiographic examination, radiopaque densities were incidentally identified in the pelvic bowl visualized through a gonad shield. Follow-up pelvic radiography revealed several radiopacities of uniform density localized in the pelvic bowl. Intervention/Outcomes: Medical (gynecological) consultation led to ultrasonography of the pelvis that revealed a mature cystic teratoma. The patient underwent complete excision of the mass through a laparotomy procedure. The patient continued to receive chiropractic treatment of her original cervical and lumbar spine complaints, further suggesting that the pelvic mass was not a source of her musculoskeletal complaints. Conclusion: This case demonstrates the detection and proper referral of a patient with a calcific mass. The presence of a pelvic mass, suspected of arising from the ovary, requires additional diagnostic imaging and careful clinical correlation.

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

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

Cited by 6 publications

References 3 publications

Peritoneal hernia following abdominal hysterectomy: A case report

Peritoneal hernia following abdominal hysterectomy: A case report

Comparison of Pfannenstiel and Maylard incisions for total abdominal hysterectomies in large uterus

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma

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