The Maylard incision in gynecologic surgery

The transverse muscle-splitting Maylard incision was used in 175 gynecologic patients who required pelvic-abdominal surgery. One hundred fifty-three patients (87%) had pelvic malignancy; other indications for operation included uterine myomas, endometriosis, tuboovarian abscess, and benign ovarian c...

Full description

Saved in:
Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 163; no. 5 Pt 1; p. 1554
Main Authors Helmkamp, B F, Krebs, H B
Format Journal Article
LanguageEnglish
Published United States 01.11.1990
Subjects
Abdominal Muscles - surgery
Adult
Aged
Aged, 80 and over
Evaluation Studies as Topic
Female
Genital Diseases, Female - surgery
Genital Neoplasms, Female - surgery
Humans
Hysterectomy
Lymph Node Excision
Middle Aged
Ovariectomy
Pelvis
Postoperative Complications
Prospective Studies
Surgical Procedures, Operative - methods
Online AccessGet more information

Cover

More Information
Summary:The transverse muscle-splitting Maylard incision was used in 175 gynecologic patients who required pelvic-abdominal surgery. One hundred fifty-three patients (87%) had pelvic malignancy; other indications for operation included uterine myomas, endometriosis, tuboovarian abscess, and benign ovarian cysts. Exposure was excellent: 54% of patients underwent pelvic lymphadenectomy and 17% underwent paraaortic lymphadenectomy. Twelve patients (6.9%) had wound complications, but there was neither long-term morbidity nor mortality associated with the incision. Fifty-six patients (32%) received preoperative or postoperative pelvic radiation therapy with no detrimental effect on wound healing. The Maylard incision is cosmetic, strong, easily learned, and has an acceptable complication rate. Unless a vertical incision is indicated, the Maylard technique is preferred when optimal exposure and accessibility to the pelvis are required.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(90)90625-H