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The Maylard incision in gynecologic surgery
1Department of Obstetrics and Gynecology, Fairfax Hospital, Falls Church, Virginia.
American Journal of Obstetrics and Gynecology
|November 1, 1990
Summary
The Maylard incision provides excellent pelvic-abdominal surgical exposure for gynecologic procedures, with a low complication rate. This cosmetic and easily learned technique is preferred for optimal access, especially in malignancy cases.
Area of Science:
- Gynecologic Surgery
- Surgical Incisions
- Oncology
Background:
- The Maylard incision is a transverse muscle-splitting approach for pelvic-abdominal surgery.
- Its utility in gynecologic procedures, particularly for malignancy, requires evaluation.
Purpose of the Study:
- To assess the efficacy and safety of the Maylard incision in gynecologic patients.
- To evaluate surgical exposure, complication rates, and outcomes associated with this approach.
Main Methods:
- Retrospective review of 175 gynecologic patients undergoing pelvic-abdominal surgery using the Maylard incision.
- Analysis of indications, surgical procedures performed, wound complications, and oncologic outcomes.
Main Results:
- The Maylard incision provided excellent exposure, facilitating extensive lymphadenectomy in 54% of patients.
- A low wound complication rate of 6.9% was observed, with no long-term morbidity or mortality.
- Pelvic radiation therapy did not negatively impact wound healing in 32% of patients.
Conclusions:
- The Maylard incision is a safe, effective, and cosmetically favorable surgical approach for gynecologic pelvic-abdominal surgery.
- It offers optimal exposure and accessibility, making it a preferred option over vertical incisions when indicated.
- The technique is associated with an acceptable complication rate and is suitable for patients undergoing oncologic procedures.