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Hernia

, Volume 8, Issue 3, pp 177–181 | Cite as

The Pfannenstiel or so called “bikini cut”: Still effective more than 100 years after first description

  • K. Kisielinski
  • J. Conze
  • A. H. Murken
  • N. N. Lenzen
  • U. Klinge
  • V. Schumpelick
History

Abstract

The original Pfannenstiel incision is discussed including the technique, history, current indications, advantages, and disadvantages. Excellent cosmetic results, principles of less traumatic surgery, and a rare incisional hernia complication rate of about 0–2%, as well as long-time use characterise this access path to the pelvic organs first described by the German gynaecologist in 1900. Complications of nerve damage, however, should be recognised, especially when extending the incision too far laterally.

Keywords

Pfannenstiel incision Laparotomy Incisional hernia Minimally invasive surgery Cesarean section 

References

  1. 1.
    Morton, Leslie T (1991) Jeremy M. Norman (ed) Morton’s Medical Bibliography. 5th edition, Aldershot, Hants, England and Brookfield, Vermont, USA: Scolar Press, Gower, pp 491, 943, 946Google Scholar
  2. 2.
    Pfannenstiel HJ (1900) Über die Vorteile des suprasymphysären Faszienquerschnitts für die gynäkologischen Köliotomien, zugleich ein Beitrag zu der Indikationsstellung der Operationswege. In: Sammlung klinischer Vorträge N.F. no. 268, Gynäkologie Nr. 97, Leipzig, pp 1735–1756Google Scholar
  3. 3.
    Luijendijk RW, Jeekel J, Storm RK, Schutte PJ, Hop WCJ, Drogendijk AC, Huikeshoven FJM (1997) The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg 225:365–369CrossRefPubMedGoogle Scholar
  4. 4.
    Griffiths DA (1976) A reappraisal of the Pfannenstiel incision. Br J Urol 48:469–474PubMedGoogle Scholar
  5. 5.
    Biswas KD (1973) Why not Pfannenstiel’s incision? Obstet Gynecol 41:303–307PubMedGoogle Scholar
  6. 6.
    El-Boghdadly SA, Abel K (1984) Pfannenstiel incision for appendectomy in females. Br J Clin Pract 38:17–19PubMedGoogle Scholar
  7. 7.
    Saetta JP, Abel KP (1990) The use of the Pfannenstiel inicision in the female with presumed appendicitis. Br J Clin Pract 44:145–147PubMedGoogle Scholar
  8. 8.
    Abarbanel J, Kimche D (1988) Combined retropubic prostatectomy and preperitoneal inguinal herniorrhapy. J Urol 140:1442–1444PubMedGoogle Scholar
  9. 9.
    Freundt I, Toolenaar TAM, Huikeshoven FJM (1992) A modified technique to create a neovagina with an isolated segment of sigmoid colon. Surg Gynecol Obstet 174:11–16Google Scholar
  10. 10.
    Surena FM, Inderbir SG (2003) Modified Pfannenstiel incision for intact specimen extraction after retroperitoneoscopic renal surgery. Urology 61:830–832CrossRefPubMedGoogle Scholar
  11. 11.
    Kalil AN, Mastalir ET (2002) Laparoscopic hepatectomy for benign liver tumors. Hepatogastroenterology 49:803–805Google Scholar
  12. 12.
    Athanasakis H, Tsiaoussis J, Vassiliakis JS, Xynos E (2001) Laparoscopically assisted subtotal colectomy for slow-transit constipation. Surg Endosc 15:1090–1092PubMedGoogle Scholar
  13. 13.
    Kienle P, Weitz J, Benner A, Herfarth C, Schmidt J (2003) Laparoscopically assisted colectomy and ileoanal pouch procedure with and without protective ileostomy. Surg Endosc 17:716–720CrossRefPubMedGoogle Scholar
  14. 14.
    Hesselink VJ, Luijendijk RW, Wilt JHW (1993) Incisional hernia recurrence: an evaluation of risk factors. Surg Gynecol Obstet 176:228–234PubMedGoogle Scholar
  15. 15.
    Pietratoni M, Parsons MT, O’Brien WF (1991) Peritoneal closure or non-closure at Cesarean. Obstet Gynecol 77:293–296PubMedGoogle Scholar
  16. 16.
    Daversa B, Landers D (1961) Physiological advantages of the transverse incision in gynecology. Obstet Gynecol 17:305–310PubMedGoogle Scholar
  17. 17.
    Tollefson DG, Russel KP (1954) The transverse incision in pelvic surgery. Am J Obstet Gynecol 68:411–422Google Scholar
  18. 18.
    Coeverden de Groot van HA, Jeeva MA, Gunston KD (1983) Morbidity after total abdominal hysterectomy. S Afr Med J 63:515–516PubMedGoogle Scholar
  19. 19.
    Franchi M, Ghezzi F, Raio L, Di Naro E, Miglierina M, Agosti M, Bolis P (2002) Joel-Cohen or Pfannenstiel incision at cesarean delivery: does it make a difference? Acta Obstet Gynecol Scand 81:1040–1046CrossRefPubMedGoogle Scholar
  20. 20.
    Giacalone PL, Daures JP, Vignal J, Herisson C, Hedon B, Laffargue F (2000) Pfannenstiel versus Maylard incision for cesarean delivery: a randomized controlled trial. Obstet Gynecol 99:745–750CrossRefGoogle Scholar
  21. 21.
    Boughey JC, Nottingham JM (2002) Massive incisional hernia of the bowel and urinary bladder: a case report. Am Surg 68:892–894PubMedGoogle Scholar
  22. 22.
    Mc Gowan L (1982) Abdominal incision and staging in ovarian cancer. Arch Surg 121:800–802Google Scholar
  23. 23.
    Piura B (1989) Nerve entrapment after Pfanenstiel incision (comment and reply). Am J Obstet Gynecol 161:499–500Google Scholar
  24. 24.
    Sippo WC, Captain MC, Burghardt A, Gomez A (1988) Nerve entrapment after Pfannenstiel incision. Am J Obstet Gynecol 157:420–421Google Scholar
  25. 25.
    Sippo WC, Gomez AC (1987) Nerve-entrapment from lower abdominal surgery. J Fam Pract 25:585–587PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • K. Kisielinski
    • 1
  • J. Conze
    • 1
  • A. H. Murken
    • 2
  • N. N. Lenzen
    • 1
  • U. Klinge
    • 1
  • V. Schumpelick
    • 1
  1. 1.Department of Surgery University HospitalRhenish Westphalian Technical UniversityAachenGermany
  2. 2.Institute for Medical History and Theoretical MedicineRhenish Westphalian Technical UniversityAachenGermany

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