The Experts below are selected from a list of 2829 Experts worldwide ranked by ideXlab platform
François Laffargue - One of the best experts on this subject based on the ideXlab platform.
-
Pfannenstiel versus Maylard Incision for cesarean delivery: A randomized controlled trial.
Obstetrics and gynecology, 2002Co-Authors: Pierre Ludovic Giacalone, Jean Pierre Daures, Jacques Vignal, Christian Herisson, Bernard Hedon, François LaffargueAbstract:To compare the Pfannenstiel Incision with transverse muscle-cutting Maylard Incision in women who had cesarean delivery. Patients were assigned randomly to a Pfannenstiel or Maylard Incision. Postoperative treatment was similar for each group. Surgical characteristics, complications, postoperative pain (visual analog scale, analgesic use), and related quality of life (1- and 3-month self-administered questionnaires) were analyzed. Abdominal wall muscle recovery was compared objectively by dynamometer. Fifty-four women had a Pfannenstiel Incision and 43 had the Maylard Incision. There were no differences in intraoperative characteristics, postoperative morbidity, or pain. Women's responses to the Nottingham Health Profile questionnaire at 1 and 3 months postoperatively and clinical and isokinetic testing for abdominal wall strength were similar between the two groups. Transecting the rectus muscle was no more deleterious than the Pfannenstiel Incision. There was no difference in objectively measured abdominal wall strength.
-
Pfannenstiel versus maylard Incision for cesarean delivery: A randomized controlled trial
Obstetrics & Gynecology, 2002Co-Authors: Pierre Ludovic Giacalone, Jean Pierre Daures, Jacques Vignal, Christian Herisson, Bernard Hedon, François LaffargueAbstract:Abstract OBJECTIVE: To compare the Pfannenstiel Incision with transverse muscle-cutting Maylard Incision in women who had cesarean delivery. METHODS: Patients were assigned randomly to a Pfannenstiel or Maylard Incision. Postoperative treatment was similar for each group. Surgical characteristics, complications, postoperative pain (visual analog scale, analgesic use), and related quality of life (1- and 3-month self-administered questionnaires) were analyzed. Abdominal wall muscle recovery was compared objectively by dynamometer. RESULTS: Fifty-four women had a Pfannenstiel Incision and 43 had the Maylard Incision. There were no differences in intraoperative characteristics, postoperative morbidity, or pain. Women’s responses to the Nottingham Health Profile questionnaire at 1 and 3 months postoperatively and clinical and isokinetic testing for abdominal wall strength were similar between the two groups. CONCLUSION: Transecting the rectus muscle was no more deleterious than the Pfannenstiel Incision. There was no difference in objectively measured abdominal wall strength.
Edward E. Cherullo - One of the best experts on this subject based on the ideXlab platform.
-
A Pfannenstiel Single-site Nephrectomy and Nephroureterectomy: A Practical Application of Laparoendoscopic Single-site Surgery
Urology, 2009Co-Authors: Lee Ponsky, Matthew L. Steinway, Irma J. Lengu, David M. Hartke, Srinivas Vourganti, Edward E. CherulloAbstract:OBJECTIVES To present the initial clinical experience with laparoendoscopic single-site (LESS) radical nephrectomy and nephroureterectomy performed completely through a Pfannenstiel Incision. METHODS Two patients underwent a single-site nephrectomy and nephroureterectomy for the diagnosis of an enhancing renal parenchymal mass and a renal pelvic mass, respectively. In both cases, a 7.5-cm Pfannenstiel Incision was made and GelPort was inserted. Trocars were placed through the access port, and nephrectomy was performed using standard and bariatric length laparoscopic instruments. Distal ureter was resected through the Pfannenstiel Incision for nephroureterectomy. No additional ports were used as both procedures were completed via the Pfannenstiel approach. RESULTS The procedures were completed in 187 and 409 minutes, respectively, without complication. Blood loss was estimated at 50 and 200 mL, respectively. Postoperatively, the patients required minimal analgesia. Patients were discharged on postoperative days 2 and 4, respectively. CONCLUSIONS LESS nephrectomy and nephroureterectomy using only a Pfannenstiel Incision are technically feasible and reproducible in human beings if performed by surgeons with standard laparoscopic skills. Using standard and bariatric length laparoscopic instruments, the procedures were performed without complication, with minimal blood loss and minimal variance from standard laparoscopic techniques. We anticipate that this approach can be incorporated by the urologist adept at laparoscopic surgery and provides a practical application of LESS surgery for extirpative procedures.
-
Laparoendoscopic single-site (less) nephrectomy through a Pfannenstiel Incision: Porcine model
Journal of endourology, 2009Co-Authors: Matthew L. Steinway, Irma J. Lengu, Edward E. Cherullo, Lee PonskyAbstract:Abstract Purpose and Objective: Laparoscopic nephrectomy has become a standard of care for localized renal tumors. Several groups have demonstrated single-Incision laparoscopic nephrectomy performed completely through the extraction site, including transumbilical, paramedian, and transvaginal Incisions. The Pfannenstiel Incision is a commonly used extraction site after laparoscopic radical nephrectomy. The advantages of this Incision include improved cosmesis as well as decreased pain. We investigated the feasibility of performing a single-Incision laparoscopic nephrectomy through a Pfannenstiel Incision in a porcine model, because this is the extraction site of choice at our institution. Materials and Methods: Bilateral laparoscopic nephrectomies were performed in five acute female swine through a GelPort® inserted into a 4- to 6-cm Incision comparable to the human Pfannenstiel Incision. Results: Nine of 10 attempted nephrectomies were completed successfully. One nephrectomy was aborted because of a rena...
Eric M. Haas - One of the best experts on this subject based on the ideXlab platform.
-
Single-Incision laparoscopic colectomy: a novel approach through a Pfannenstiel Incision.
Techniques in coloproctology, 2011Co-Authors: Madhu Ragupathi, Diego I. Ramos-valadez, M. D. Yaakovian, Eric M. HaasAbstract:Background Single-Incision laparoscopic colectomy is evolving as a safe and feasible approach for the management of various diseases of the colon and rectum. The modality affords completion of “scarless” surgery through a transumbilical Incision; however, this approach is associated with several limitations when performing colorectal procedures involving the pelvis. Collinear alignment of the camera and instruments through a single umbilical Incision results in restricted visualization, inadequate dissection and mobilization, and the potential for inadvertent injury. We have developed an innovative approach utilizing a Pfannenstiel Incision for single-Incision access to the pelvis.
G. K. R. Saumya - One of the best experts on this subject based on the ideXlab platform.
-
Skin closure with Pfannenstiel Incision in lower segment caesarean section; comparison of wound outcome with interrupted vs. subcuticular techniques
Galle Medical Journal, 2020Co-Authors: D. L. W. Dasanayake, A. K. Jodhi, K.u.g.a Roomadu, G. K. R. SaumyaAbstract:Introduction: Caesarean section is the most common surgical procedure performed in the world. A vast majority of the procedures are carried out with Pfannenstiel Incision. Different techniques and materials are used to approximate the skin in caesarean section. Each method has its own advantages and disadvantages. The objective of the study was to compare surgical wound outcome and satisfaction of women who underwent Pfannenstiel Incision closure with interrupted vs. subcuticular suturing in caesarean sections. Methods: A prospective comparison was carried out in 400 age and body mass index matched women who underwent lower segment caesarean section for the first time. Standard lower segment caesarean section was performed with assigning interrupted and subcuticular wound closure for 200 women in each group, following matching for BMI and age. Two arms were compared for wound complications, postoperative pain and overall satisfaction of the outcome. Results: There was no statistically significant difference between groups for baseline characteristics (age, BMI and category of caesarean sections). According to visual analogue scale 91% of women reported to have moderate to severe pain in interrupted group compared to 80% in subcuticular group (p Conclusions: Women who had subcuticular suturing method had less post-operative pain, better wound outcome and more satisfaction compared to interrupted suturing.
Frans J.m. Huikeshoven - One of the best experts on this subject based on the ideXlab platform.
-
The low transverse Pfannenstiel Incision and the prevalence of Incisional hernia and nerve entrapment.
Annals of surgery, 1997Co-Authors: Roland W. Luijendijk, Johannes Jeekel, Remmert K. Storm, Pieter J. Schutte, Wim C. J. Hop, Arie C. Drogendijk, Frans J.m. HuikeshovenAbstract:OBJECTIVE: The authors determined the prevalence of Incisional hernia and nerve entrapment in patients with a low transverse Pfannenstiel Incision. SUMMARY BACKGROUND DATA: The literature on the Pfannenstiel Incision suggests an Incisional hernia rate of 0.0% to 0.5%. However, in these series, physical examination, which is essential in the authors' view, was not performed. To the authors' knowledge, the prevalence of nerve entrapment after the Pfannenstiel Incision is not known or has never been published. METHODS: All adult women, operated on between 1986 and 1992 using a Pfannenstiel Incision and not having had another lower abdominal Incision other than for laparoscopy, were invited for follow-up at the outpatient department. All patients were interviewed and subjected to a physical examination, with special interest to the presence of Incisional hernia or nerve entrapment. RESULTS: In patients having had a Pfannenstiel Incision, no Incisional hernias were found. In patients also having had a laparoscopy, the Incisional hernia rate was 3.5%. Nerve entrapment was found in 3.7%. The length of the Incision was identified as a risk factor (p = 0.02). CONCLUSIONS: Incisional hernia is a rare complication of the Pfannenstiel Incision. Complications of nerve damage, however, are not uncommon and should be recognized. When possible, nerves should be identified and preserved, especially when extending the Incision more laterally.
