Dr. med. Dirk Manski



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Pfannenstiel Incision: Surgical Steps

Urologic Indications for a Pfannenstiel Incision


fig. skin incision for a pfannenstiel incision
Pfannenstiel incision: skin incision

Patient Positioning

Supine position with slight hyperextension of the lumbar spine.

Surgical Technique of a Pfannenstiel Incision

Wound closure:

Interrupted sutures vicryl 0 are used to reapproximate the rectus muscle. Fascial closure is done with the short stitch technique: continuous running suture (monofilament, elastic, slowly absorbable, suture size USP 0 or 2-0), tissue bites of 5 mm and intersuture spacing of 4--5 mm are applied exclusively to the fascia (anterior lamina of the rectus sheath).

Wound closure:

Interrupted sutures vicryl 0 are used to reapproximate the rectus muscle. Fascial closure is done with the short stitch technique: continuous running suture (monofilament, elastic, slowly absorbable, suture size USP 0 or 2-0), tissue bites of 5 mm, and intersuture spacing of 4--5 mm are applied exclusively to the fascia (anterior lamina of the rectus sheath).






Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

References

E. B. Deerenberg et al., “Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial.,” Lancet, vol. 386, no. 10000, pp. 1254–1260, 2015, doi: 10.1016/S0140-6736(15)60459-7.

J. A. Smith, S. S. Howards, G. M. Preminger, and R. R. Dmochowski, Hinman’s Atlas of Urologic Surgery Revised Reprint. Elsevier, 2019.



  Deutsche Version: Pfannenstiel Zugang