Page 160 - EJMO-9-3

Eurasian Journal of
Medicine and Oncology Pfannenstiel incision in endometrial cancer

protocol, introducing potential selection bias. Second, it Author contributions
was conducted at a single institution, which may limit the
generalizability of the findings. Third, while the sample Conceptualization: Cem Yagmur Ozdemir, Nayif Çicekli
size was reasonable for an observational study, it may Data curation: Cem Yagmur Ozdemir, Derya Yeğin Aksu
Formal analysis: Cem Yagmur Ozdemir, Derya Yeğin Aksu
not be sufficient to detect subtle differences in long-term Investigation: Hasan Eroğlu, Necat Cağatay Sezer
outcomes such as recurrence and survival. In addition,
data regarding inflammatory markers, postoperative Supervision: Hasan Eroğlu, Dağıstan Tolga Arioz
complications, and quality-of-life measures were not Writing – original draft: Cem Yagmur Ozdemir, Necat
Cağatay Sezer
available, which restricted a more comprehensive Writing – review & editing: Nayif Çicekli, Derya Yeğin Aksu
assessment of patient outcomes. Finally, variations in
surgical technique over the extended study period may Ethics approval and consent to participate
have affected outcome consistency.
The present study was approved by the Ethical Committee
Nonetheless, our study has notable strengths. It of Afyonkarahisar Health Sciences University Hospital
brings renewed attention to the Pfannenstiel incision—a (approval no: 13.12.2024 – 2024/11) and conducted in
technique often overlooked in recent discussions accordance with the Declaration of Helsinki. Informed
dominated by minimally invasive methods. Our findings consent was obtained from all patients during their
suggest that this approach remains clinically relevant, hospitalization.
particularly for patients who are not ideal candidates for
laparoscopy. In terms of recurrence and survival outcomes, Consent for publication
the Pfannenstiel incision offers a viable, and in some cases, Informed consent was obtained from all individual
superior alternative. Taken together, we emphasize the participants included in the study.
underappreciated value of the Pfannenstiel incision in the
surgical treatment of early-stage EC. Availability of data
We hope our findings contribute meaningfully to the Data are available from the corresponding author upon
literature and encourage further research into this surgical reasonable request.
approach, particularly for patient populations in whom
laparoscopy is not feasible or safe. References

5. Conclusion 1. Crosbie EJ, Kitson SJ, McAlpine JN, Mukhopadhyay A,
Powell ME, Singh N. Endometrial cancer. Lancet.
The Pfannenstiel incision is an important surgical approach 2022;399(10333):1412-1428.
used in gynecology. We aimed to emphasize the importance doi: 10.1016/S0140-6736(22)00323-3
of staging surgery with the Pfannenstiel incision in early-
stage EC patients with vaginal stenosis, morbid obesity 2. Kalampokas E, Giannis G, Kalampokas T, et al. Current
not suitable for trocar insertion, a history of multiple approaches to the management of patients with endometrial
abdominal surgeries, inability to insert a manipulator, cancer. Cancers (Basel). 2022;14(18):4500.
an enlarged uterus, or suspected adhesions on pelvic doi: 10.3390/cancers14184500
examination. It has been used in surgeries for many years, 3. Bilir F, Arıoz DT, Arıkan SE, et al. Relationship
and its importance has recently been overshadowed by the between molecular markers and lymphadenectomy and
rise of laparoscopy. However, our study highlights that it lymphovascular space invasion in endometrial cancer. Arch
remains a valuable option and should not be overlooked. Gynecol Obstet. 2023;308(3):941-946.
Acknowledgments doi: 10.1007/s00404-023-07005-9
4. Natarajan P, Delanerolle G, Dobson L, et al. Surgical
We would like to thank Saygin Alkan for editing the table treatment for endometrial cancer, hysterectomy performed
and the figures. via minimally invasive routes compared with open surgery:
A systematic review and network meta-analysis. Cancers
Funding (Basel). 2024;16(10):1860.
None. doi: 10.3390/cancers16101860

Conflict of interest 5. Patel N, Chaudhari K, Jyotsna G, Joshi JS. Surgical frontiers:
A comparative review of robotics versus laparoscopy in
The authors declare no competing interests. gynecological interventions. Cureus. 2023;15(11):e49752.

Volume 9 Issue 3 (2025) 152 doi: 10.36922/EJMO025150106