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Pfannenstiel versus maylard incision for cesarean delivery: A randomized controlled trial

2002; Lippincott Williams & Wilkins; Volume: 99; Issue: 5 Linguagem: Inglês

10.1016/s0029-7844(02)01957-9

1873-233X

P.L. Giacalone,

Musculoskeletal pain and rehabilitation

OBJECTIVE: To compare the Pfannenstiel incision with transverse muscle-cutting Maylard incision in women who had cesarean delivery. METHODS: Patients were assigned randomly to a Pfannenstiel or Maylard incision. Postoperative treatment was similar for each group. Surgical characteristics, complications, postoperative pain (visual analog scale, analgesic use), and related quality of life (1- and 3-month self-administered questionnaires) were analyzed. Abdominal wall muscle recovery was compared objectively by dynamometer. RESULTS: Fifty-four women had a Pfannenstiel incision and 43 had the Maylard incision. There were no differences in intraoperative characteristics, postoperative morbidity, or pain. Women's responses to the Nottingham Health Profile questionnaire at 1 and 3 months postoperatively and clinical and isokinetic testing for abdominal wall strength were similar between the two groups. CONCLUSION: Transecting the rectus muscle was no more deleterious than the Pfannenstiel incision. There was no difference in objectively measured abdominal wall strength.