The Maylard incision in gynecologic surgery

Am J Obstet Gynecol. 1990 Nov;163(5 Pt 1):1554-7. doi: 10.1016/0002-9378(90)90625-h.


The transverse muscle-splitting Maylard incision was used in 175 gynecologic patients who required pelvic-abdominal surgery. One hundred fifty-three patients (87%) had pelvic malignancy; other indications for operation included uterine myomas, endometriosis, tuboovarian abscess, and benign ovarian cysts. Exposure was excellent: 54% of patients underwent pelvic lymphadenectomy and 17% underwent paraaortic lymphadenectomy. Twelve patients (6.9%) had wound complications, but there was neither long-term morbidity nor mortality associated with the incision. Fifty-six patients (32%) received preoperative or postoperative pelvic radiation therapy with no detrimental effect on wound healing. The Maylard incision is cosmetic, strong, easily learned, and has an acceptable complication rate. Unless a vertical incision is indicated, the Maylard technique is preferred when optimal exposure and accessibility to the pelvis are required.

MeSH terms

  • Abdominal Muscles / surgery*
  • Adult
  • Aged
  • Aged, 80 and over
  • Evaluation Studies as Topic
  • Female
  • Genital Diseases, Female / surgery*
  • Genital Neoplasms, Female / surgery
  • Humans
  • Hysterectomy
  • Lymph Node Excision
  • Middle Aged
  • Ovariectomy
  • Pelvis
  • Postoperative Complications
  • Prospective Studies
  • Surgical Procedures, Operative / methods