Comparison of postoperative complications after Kustner and Pfannenstiel transverse suprapubic incisions

P. Vercellini, I. Cortesi, S. Oldani, E. Bologna, D. Perotti, P. G. Crosignani

Research output: Contribution to journalArticlepeer-review

Abstract

We compared postoperative morbidity with the Kustner (n = 53) and Pfannenstiel (n = 131) incisions in a consecutive series of women undergoing surgery for benign gynecological conditions. The incidence of febrile morbidity (15.1% vs 23.7%, χ2 1 = 1.19, P = 0.28) and wound infection (5.7% vs 9.2%, P = 0.56, Fisher's exact test) were higher in the Pfannenstiel then in the Kustner group, but neither difference was statistically significant. One suprafascial hematoma was observed after a Kustner incision compared with eight subfascial hematomas after a Pfannenstiel incision (1.9% vs 6.1%, P = 0.45, Fisher's exact test). The postoperative hospital stay was statistically significantly lower in the Kustner than in the Pfannenstiel group (6.3 ± 1.4 vs 7.1 ± 1.2 days, P <0.01, Student's t test). The Kustner incision warrants further evaluation and usage.

Original languageEnglish
Pages (from-to)201-206
Number of pages6
JournalArchives of Gynecology and Obstetrics
Volume258
Issue number4
DOIs
Publication statusPublished - 1996

Keywords

  • Kustner incision
  • Laparotomy
  • Pfannenstiel incision
  • Postoperative morbidity
  • Surgical technique

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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