Evaluation of Postoperative Early/Late Period Patient Comfort and Complications in Patients with and without Fascia Corner Suturing in Pfannestiel Incision (Burak Technique)
Isa KAPLAN
Objectives: We aimed to investigate the effect of not applying scarpa fascia corner stitching on postoperative patient comfort in patients who underwent Pfannestiel incision.
Material and Methods: Our research is a retrospective case-control study conducted between January 2013-2023. 200 patients, 100 in the study group and 100 in the control group, who underwent surgery through Pfannestiel incision, were included in the study. The patients were classified as Group 1, without Scarpa’s fascia corner suturing (Burak Technique), and Group 2, with scarpa fascia corner sutures. The patients were evaluated in terms of postoperative pain score, gas-stool passage time, mobilization, and incisional hernia. SPSS version 28.0.1 was used for statistical analysis.
Results: The indication for surgery was cesarean section and spinal anesthesia was applied to the patients. An incisional hernia developed in 1 patient in the study group. VAS-VRS scores in the first 2 hours after surgery in the study group were statistically significantly lower than in the control group (p = 0.007). No statistically significant difference was detected in VAS-VRS values after the first two hours. Gas and stool passage occurred statistically earlier in the patients in the study group (p=0.004). Mobilization was statistically easier in patients in the study group (p = 0.038). There was no statistically significant difference between the two groups in terms of incisional hernia (p=0.75).
Conclusion: In the study group, pain scores were lower in the first two hours, and gas and stool passage time and mobilization were easier. There was no difference between the two groups in terms of incisional hernia. This study suggests that the Burak Technique (without Scarpa’s fascia corner suturing) may provide advantages in terms of early postoperative comfort.
