Pfannenstiel Incision; Kerr incision or bikini line incision, transverse abdominal surgical incisio скачать в хорошем качестве

Pfannenstiel Incision; Kerr incision or bikini line incision, transverse abdominal surgical incisio

Pfannenstiel Incision 🩺 Pfannenstiel Incision—often called the “bikini line incision”—is a widely used surgical approach that provides access to pelvic organs while offering excellent cosmetic outcomes. ✂️ What It Is A transverse (horizontal) incision made about 2–3 cm above the pubic symphysis. Commonly used in Cesarean sections, gynecologic surgeries, and urologic procedures. Named after Hermann Pfannenstiel, a German gynecologist who introduced it in 1900. 🧬 Surgical Technique Skin and subcutaneous tissue are incised transversely. The rectus sheath is opened, and the rectus muscles are separated or transected. The peritoneum is entered to access pelvic organs like the uterus, bladder, or ovaries3. 🌟 Advantages Cosmetic appeal: Scar is hidden by pubic hair or underwear. Lower risk of wound complications like hernias or infections. Preserves abdominal wall integrity better than vertical incisions. ⚠️ Limitations Limited exposure to upper abdomen—less ideal for oncologic or extensive abdominal surgeries. Risk of injuring inferior epigastric vessels if not carefully dissected. May require muscle transection in patients with strong abdominal walls. 🆚 Compared to Other Incisions Feature Pfannenstiel Incision Midline Vertical Incision Cosmetic Outcome Excellent Poor Exposure Pelvic organs only Full abdominal cavity Risk of Hernia Low Higher Healing Time Faster Slower #PfannenstielIncision