It is a straight incision that is 3 cm below the line joining both anterior superior iliac spines.
[1] Joel-Cohen technique has lower rates of fever, hospital stay, post-operative pain and blood loss compared to Pfannenstiel.
Additionally, the time needed to get out of bed, walk without support and time for re-appearance of audible intestinal sounds were shorter in Joel-Cohen group than the Pfannenstiel group in a study conducted with 153 women.
The subcutaneous tissue is incised in three medial centimetres.
The lateral tissue separation is done manually and the fascia is divided by blunt dissection using both index fingers.