Incisión en "T Invertida sobre la Aponeurosis" en la técnica de Pfannenstiel para la operación cesárea

objective: to evaluate a modification of the technique of pfannenstiel used in the caesarean section. method: prospective study of 57 cases of the private patients, to whom the modified operating technique were practiced. setting: centro clínico de maternidad "leopoldo aguerrevere". results: the age average was 30.46 years; 16 cases (28%) were previous cesarean section. the indications of cesarean section were in 22 cases (38.5%) the presence of cesarean uterine scar and in 13 cases (22.8%) fetuspelvic disproportion. in 56 cases (95%) the fetal presentation was cephalic. the fetal weight average was 3 038 g and the height average of 48 cm. the surgical time average was of 1 hour 18 minutes, and there were no complications inherent to the technique. conclusion: this modification extends the operating field, improves the extraction of the fetal pole, without prolonging the surgical time and giving an excellent aesthetic result.