Atanasov A
Akush Ginekol (Sofiia). 1991;30(3):1-4.
The author describes the evolution of the suprasymphyseal cut according to Pfannenstiel since the time of its formation. He proposes and improved modification of this cut, in which all positive ideas till our days are integrated. The basic principle in this cut lies in the fact that the skin and subcutaneous tissue are separated from the fascia in the direction upward to the umbilical cord to a degree allowing to perform the desired transverse incision of the fascia. The positive sides of the suprasymphyseal cross cut are pointed out. The personal experience of the author are in support of this cut, who has used it in hundreds of women with various gynecological operations. This gives him foundation to recommend to the surgeons to include this method in their operative techniques during laparotomy for definite operations in the pelvis.
作者描述了自耻骨联合上横切口形成以来其演变过程。他提出并改进了这种切口,融合了直至当今所有积极的理念。这种切口的基本原则在于,将皮肤和皮下组织从筋膜向上朝着脐带方向分离,分离程度要达到能够进行所需的筋膜横向切口。文中指出了耻骨联合上横切口的优点。作者的个人经验支持这种切口,他已在数百名接受各种妇科手术的女性中使用过该切口。这使他有依据向外科医生推荐,在骨盆确定性手术的剖腹术中将此方法纳入其手术技术。