What is Pfannenstiel incision used for?
A Pfannenstiel incision is commonly performed for routine primary or repeat cesarean delivery or may be used for nonobstetric abdominal hysterectomy.
How long is Pfannenstiel incision?
The skin incision was placed about 3 cm below the line joining the anterior superior iliac spines and it was approximately 17 cm long (11). In the Pfannenstiel technique, the skin incision was placed about 2 cm above the symphysis with the mid-portion of the incision lying within the shaved area of the pubic hairs.
Who invented Pfannenstiel incision?
In 1900, Hermann Johannes Pfannenstiel, a German gynecologist, modified the transverse cesarean section by opening the rectus sheath transversally in addition to longitudinally [6]. This approach divides the subcutaneous tissue and the rectus sheath in the line of the skin incision.
What is a cesarean incision called?
A Pfannenstiel incision /ˈfɑːnɪnʃtiːl/, Kerr incision, Pfannenstiel-Kerr incision or pubic incision is a type of abdominal surgical incision that allows access to the abdomen. It is used for gynecologic and orthopedics surgeries, and it is the most common method for performing Caesarian sections today.
How do I close my Pfannenstiel incision?
The peritoneum is opened and incised vertically to complete a Pfannenstiel incision. Closure of the Pfannenstiel incision is straightforward. The peritoneum does not need to be closed separately as re-epithelization occurs within 48 hours. Closure of the peritoneum does not add to the strength of the incision.
Where can I make Pfannenstiel incision?
The Pfannenstiel incision is made transversely in the maternal abdomen approximately 2–3 cm above the symphysis pubis and is curvilinear, with the lateral apices of the incision smiling up toward the anterior superior iliac spines (Fig. 3).
What incision provides the best cosmetic result?
Transverse incision Reported advantages include better cosmetic results, less pain, and low incidence of hernia formation. Gynecologic oncologists have embraced certain types of transverse incisions for specific gynecologic cancer operations. Several disadvantages of these incisions exist.
What is Munro Kerr incision?
Kerr, Professor of Obstetrics and Gynecology at Glasgow University, presented a technique of cesarean section using a curved transverse incision made halfway down the lower uterine segment with the convexity directed downward.
How many C-sections is too many?
“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
What suture closes peritoneum?
Closure of the parietal peritoneum is usually performed using absorbable (dissolved by body fluids) or delayed absorbable sutures, and can be done with interrupted or continuous sutures.
How many layers are cut during C section?
How Many Layers Are Cut During A Cesarean Section? There are 5 layers that we need to get through before we can get to your uterus. Once the peritoneum is entered, the uterus should be accessible. Of these 5 layers, the rectus muscle is the only layer that isn’t cut.