Gynecology . scia transversely. The Bardenheuer incision cuts transversely all thelayers of the abdominal wall from spine to spine. This incision gives a great amount of room for manipulations in the pelvis(Fig. 371). Bardenheuer, who first advocated it, recommends also turningdown the upper flap of peritoneum and suturing it to the posterior pelvic perito-neum in order to protect the intestines from the field of operation. This incision is somewhat too radical except for extraordinary cases. 666 OPERATIONS ON THE ABDOMINAL WALL 667 THE PFANNENSTIEL INCISION The transverse, or Pfannenstiel, in
Gynecology . scia transversely. The Bardenheuer incision cuts transversely all thelayers of the abdominal wall from spine to spine. This incision gives a great amount of room for manipulations in the pelvis(Fig. 371). Bardenheuer, who first advocated it, recommends also turningdown the upper flap of peritoneum and suturing it to the posterior pelvic perito-neum in order to protect the intestines from the field of operation. This incision is somewhat too radical except for extraordinary cases. 666 OPERATIONS ON THE ABDOMINAL WALL 667 THE PFANNENSTIEL INCISION The transverse, or Pfannenstiel, incision for pelvic operations has manyadherents, especially abroad, its chief value being based on cosmetic considera-tions. The use of this incision, the scar of which is entirely concealed by thepubic hair, obviates the ugly appearances so frequently seen after the medianlongitudinal cut, such as keloid formation, pigmentation, depression, andspreading of the scar. The technic of the operation is as follows:. :SS«r. ^ c^t«\B.
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