Sherer David M, Zinn Harry, Papavlassopulos Angeliki, Thompson Marae, Benton Lynne, Filipovic Anthony, DeLeón-Perazza Monica, Dalloul Mudar
The Division of Maternal Fetal Medicine, The Department of Obstetrics and Gynecology, State University of New York (SUNY), Downstate Health Sciences University, Brooklyn, NY, USA.
The Department of Radiology, State University of New York (SUNY), Downstate Health Sciences University, Brooklyn, NY, USA.
Radiol Case Rep. 2024 Sep 25;19(12):6343-6346. doi: 10.1016/j.radcr.2024.08.133. eCollection 2024 Dec.
Advantages of the low transverse Pfannenstiel incision include lower rates of incisional hernia, wound infection, hematoma formation, direct postoperative pain and distinctly improved aesthetic appearance. Relative disadvantages include insufficient intraoperative exposure of the upper abdomen and an increased incidence of superficial nerve entrapment. Incisional hernia following Pfannenstiel incision is a rare event with a reported incidence of between 0 and 0.5% while in contrast midline vertical incisions are considerably more common with a reported incidence of 5 to 30%. Symptomatology of Pfannenstiel incisional hernia has been reported to include: bulging, pain or discomfort, and distention of the surgical area. We report an unusual case of early postpartum unilateral vulvar edema, which led to imaging diagnosis of Pfannenstiel incisional hernia in a 41 year-old woman on Day 2 following Cesarean delivery due to preeclampsia with worsening severe features, at 30 weeks' gestation.
低位横切口（Pfannenstiel切口）的优点包括切口疝发生率较低、伤口感染率较低、血肿形成率较低、术后直接疼痛较轻以及美观度明显改善。相对缺点包括术中对上腹部的暴露不足以及浅表神经卡压的发生率增加。Pfannenstiel切口术后的切口疝是一种罕见事件，报道的发生率在0至0.5%之间，而相比之下，中线垂直切口更为常见，报道的发生率为5%至30%。据报道，Pfannenstiel切口疝的症状包括：手术区域隆起、疼痛或不适以及肿胀。我们报告了一例不寻常的产后早期单侧外阴水肿病例，该病例导致一名41岁女性在因重度子痫前期伴严重特征加重、妊娠30周行剖宫产术后第2天，经影像学诊断为Pfannenstiel切口疝。
