Maylard incision
Pronunciation: MAY-lard
A transverse abdominal incision that divides the rectus muscles, providing wider exposure than a Pfannenstiel incision.
Full Definition
The Maylard incision is a type of transverse abdominal incision used in gynecologic surgery that differs from the Pfannenstiel incision by cutting through the rectus abdominis muscles rather than separating them. This technique provides significantly wider exposure of the pelvis, making it particularly useful for complex procedures such as radical hysterectomy or extensive adhesiolysis. The incision requires ligation of the inferior epigastric vessels and results in some denervation of the rectus muscles. While it offers superior exposure, it may be associated with increased postoperative pain and potential abdominal wall weakness compared to muscle-sparing techniques.
Usage
Usage note: Named after surgeon Alfred Ernest Maylard; capitalize as it's an eponym.
In Context
- "Given the complexity of the case, a Maylard incision was chosen over a Pfannenstiel for optimal exposure." — operative report
- "The Maylard incision provides excellent visualization of the lateral pelvic sidewalls." — surgical textbook