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June 14, 1958


Author Affiliations


From the departments of surgery and medicine, Northwestern University Medical School and Passavant Memorial Hospital.

JAMA. 1958;167(7):841-844. doi:10.1001/jama.1958.72990240003008a

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The urologist has occasion to utilize surgical procedures which necessitate an easy access to the deepest pelvic recesses. An adequate incision will facilitate these deep pelvic operations and result in reduced surgical trauma to the patient and lessened strain on the surgeon. The Cherney incision, with division of the tendinous insertions of the rectus muscles at the symphysis and with lateral extension, gives pelvic access superior to that of any previously described incision.

Pfannenstiel, in 1900, suggested transverse division of the lower abdominal skin and fascia with separation of the rectus muscles. In 1907, Maylard and Bardenheuer modified the Pfannenstiel incision by dividing all the lower abdominal layers transversely. Maylard, in a paper supplemented by excellent drawings, discussed the transverse incision for abdominal walls in obese patients. He stressed its many advantages during and after operation on the upper abdomen, including the lessened likelihood of a postoperative hernia. In 1941,

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