[Morley inter-iliac transverse incision in gynecologic operations].

The Morley incision is much less frequently used than the Pfannenstiel technique. Dividing the rectus muscle during laparotomy has both the advantages of the Pfannenstiel incision (good exposure of the pelvic organs, cosmetic appearance, decreased risk of hernia formation) as well as those of the midline approach (access to the upper abdomen). Between October 1992 and April 1994, the Morley technique was used in 73 cases. In 33 patients, radical hysterectomy with pelvic lymphadenectomy for cervical carcinoma was performed. In 40 patients, the Morley incision was used for treatment of carcinoma of the endometrium (20), ovarian masses (16), large fibroids (3) or marked obesity (1). The rate of secondary wound healing was 10%. On patient required hernia repair. No postoperative bleeding and no haematomas were observed. The Morley technique is an excellent alternative to the standard midline incision whenever optimal exposure of the pelvic viscera is required as well as an acceptable access to the upper abdomen.