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Through the years, the overall incidence of incisional hernia with a Pfannenstiel incision remains low at 0%-0.
Recurrent Pfannenstiel surgery has previously been found to be a predictor of chronic pain after Pfannenstiel incision (18), but our results do not support such as association.
When dealing with a large fibroid uterus, not wanting to use a vertical skin incision and hoping to limit the size of a Pfannenstiel incision, it can be difficult to elevate the uterus out of the incision to start a hysterectomy or myomectomy.
In the procedure, the bladder is first instilled with a mixture of normal saline and indigo carmine, and a Pfannenstiel incision is made into the abdominal cavity.
All patients received epidural anesthesia and delivered by planned Pfannenstiel incision.
We were attempting to remove a fairly large uterus through a Pfannenstiel incision, but visualization was terrible.