INITIAL STUDY OF THE SELECTION OF THE TYPE OF INCISION FOR THE SPECIMEN EXTRACTION AFTER A LAPAROSCOPIC NEPHRECTOMY: PFANNENSTIEL INCISION

Abstract

\n \n \n The transverse hypogastric Pfannenstiel incision is one of the possibilities for specimen extraction after a laparoscopic nephrectomy. Its advantages include low morbidity and a favorable cosmetic result.\n \n \n \n Retrospective and comparative observational study of 105 patients who underwent nephrectomy in our center. Group 1: renal extraction through Pfannenstiel incision. Group 2: renal extraction using other techniques. The presence of infection, incisional hernia and pain (visual analogue scale-VAS) was evaluated in each patient. Additionally, a telephone survey was conducted on the cosmetic results.\n \n \n \n 105 patients: 68 group 1 (Pfannenstiel incision) and 37 group 2 (other incisions).\n The median size of the nephrectomy specimen was 14\u2009cm (group 1 15cm, group 2 13cm).\n 27 patients (26%) had pain in the area of the hypogastric incision in the early postoperative period with a median on the VAS scale of 4 (16 group 1 vs 11 group 2).\n 3 patients (2.8%) presented incisional hernia (0 group 1 vs 3 group 2).\n 3 patients presented wound infection (0 group 1 vs 3 group 2).\n 70% of the patients in group 1 (48/68) answered the survey on cosmetic satisfaction: 93% were satisfied with the scar and its location. 49% of the patients in group 2 (18/37) answered the survey on cosmetic satisfaction: 83% were satisfied with the scar and its location.\n \n \n \n The Pfannenstiel incision is a valid and safe alternative for laparoscopic nephrectomy specimen extraction with a favorable complication and cosmetic profile compared to other common techniques for nephrectomy specimen extraction.\n