Which incision is preferred for gynecological surgery?

The Pfannenstiel incision is preferred for gynecological surgery due to its several advantageous characteristics. This incision is a transverse cut made just above the pubic symphysis, which allows for excellent access to the pelvic organs while minimizing disruption to the overlying abdominal muscles.

The placement of the incision in the bikini line also offers cosmetic benefits, as it tends to be less visible once the patient has healed. This aspect is often a significant consideration for many women undergoing gynecological procedures.

Additionally, the approach facilitates a good surgical field and adequate access to structures such as the uterus, ovaries, and fallopian tubes, which are often involved in various gynecological surgeries. It is also associated with less postoperative pain compared to vertical incisions due to less cutting of the abdominal muscles.

While other incisions, such as the Kocher's incision, are useful in specific abdominal surgeries, they do not offer the same cosmetic and functional benefits for gynecological procedures as the Pfannenstiel incision. The bikini incision, although similar in terms of position, lacks the characteristic curved superior border and might not provide the same level of access. Rooftop incisions are not standard in gynecological surgery and are typically used for specific cases