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In neonates with the most severe form of Ebstein anomaly, the functional right ventricle is hypoplastic, and the patient is usually best treated by closing the tricuspid valve and, in effect, creating a tricuspid atresia physiology (Starnes procedure). In addition, these infants require a systemic arteryâtoâpulmonary artery shunt.
First description of Pfannenstiel's incision. A Pfannenstiel incision for a caesarian section closed with surgical staples. The superior aspect of mons pubis and pubic hair are seen at bottom of the image. A Pfannenstiel incision /ËfÉËnáµ»nÊtiËl/ is a type of abdominal surgical incision that allows access to the abdomen. It is used for gynecologic and orthopedics surgeries, and it is the most common method for performing Caesarian sections today.