Version June 2024
| A straight transverse incision is cut only through the skin 3 cm below the level of the anterior superior iliac spines. By comparison, a traditional Pfannenstiel is curved and placed more inferiorly, approximately 3 cm above the pubic symphysis. |
| The subcutaneous tissues in the middle 3 cm of the incision are incised down to the fascia. |
| The fascia is opened transversely in the midline, and the fascial incision is extended laterally in both directions using scissors placed underneath the subcutaneous adipose tissue, which is not cut with the scissors. |
| The rectus sheath is separated from the rectus muscles by pulling the sheath caudally and cranially using the two index fingers. |
| The peritoneum is opened by using one or two fingers to perforate the peritoneum and then the opening is stretched by pulling caudally and cranially with the fingers to create a transverse opening. |
| All layers of the abdominal wall are manually stretched laterally to both sides to provide an opening as large as the skin incision. |
| A transverse superficial incision is made through the visceral peritoneum 1 cm above the superior aspect of the bladder. The peritoneum with the bladder is reflected inferiorly using fingers or a swab. |
| A small transverse hysterotomy incision is made and extended laterally to both sides by pulling with the fingers. |
| The hysterotomy incision is closed with a one-layer continuous locked stitch. A second layer is placed only if needed. |
| The visceral and parietal peritoneum are not reapproximated. |
| The fascia is reapproximated with a continuous running stitch. |
| The skin is reapproximated with 2 or 3 mattress stitches. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
