Comparison of Pfannenstiel and Maylard incisions for total abdominal hysterectomies in large uterus

Abstract

Purpose: To compare transverse muscle cutting Maylard incision and the Pfannenstiel incision in hysterectomies for large uterus. Materials and Methods: Ninety-five patients who underwent hysterectomy for myomatous uteri, larger than 14 weeks of gestation were included in the study. Results: The average intraoperative blood loss was lower in the Maylard group compared to Pfannenstiel group (114.65 cc and 129.04 cc p p p = 0.8 and p = 0.231, respectively). Conclusion: The Maylard incision may be preferred in the patients whose uterus is larger than 14 weeks. Maylard incision may provide better pelvic view and shorter operative time in these patients. Although blood loss during surgery was less in the Maylard group, the authors believe that this amount of difference is not clinically important.