Pfannenstiel incision
Pronunciation: PFAN-en-steel
Low transverse abdominal incision commonly used for gynecologic surgeries, offering excellent cosmetic results.
Full Definition
The Pfannenstiel incision is a transverse surgical incision made approximately 2-3 cm above the pubic symphysis, following the natural skin creases. Named after German gynecologist Hermann Johannes Pfannenstiel, this approach provides excellent exposure for pelvic procedures while maintaining superior cosmetic results compared to vertical incisions. The incision involves cutting through skin, subcutaneous tissue, and fascia transversely, then separating the rectus muscles vertically to access the peritoneal cavity. It is the preferred approach for most gynecologic procedures including hysterectomy, cesarean section, and pelvic mass removal.
Usage
Usage note: Always capitalize as an eponym; distinguish from other transverse incision types.
In Context
- "A Pfannenstiel incision was made to provide optimal exposure for the total abdominal hysterectomy." — operative report
- "The patient was counseled about the excellent cosmetic outcome expected with the Pfannenstiel approach." — preoperative consultation