AST Surgical Technologist Practice Exam

Which of the following is a curved, transverse incision across the lower abdomen frequently used in gynecological surgery?

1. Vertical incision

2. Midline incision

3. Pfannenstiel

4. Paramedian incision

The correct answer is: Pfannenstiel

The Pfannenstiel incision is a specific type of curved, transverse incision made across the lower abdomen, which is particularly favored in gynecological surgeries. This incision is made just above the pubic hairline, allowing for improved cosmetic results and reduced scarring compared to vertical incisions. The curvature of the Pfannenstiel incision aligns with the natural contours of the body, providing adequate access to the underlying structures like the uterus and ovaries while minimizing damage to the abdominal muscles and nerves. This approach facilitates procedures such as cesarean sections and hysterectomies while promoting faster recovery and less postoperative pain for patients. In contrast, the other types of incisions mentioned serve different purposes. Vertical incisions run up and down the abdomen, which can be more invasive and lead to more significant postoperative discomfort. Midline incisions are also vertical and can be effective in certain abdominal surgeries but may not provide the same cosmetic or functional advantages in gynecological contexts. Paramedian incisions, located slightly off the midline, are generally used for various abdominal surgeries but are less common for gynecological procedures due to their potential for more complications and discomfort. The design and application of the Pfannenstiel incision make it the preferred choice