Maylard incision

[1] The rectus fascia and muscle are cut transversely and the incision is extended as far laterally as needed.

The anterior rectus sheath is not separated from the muscle to facilitate easy closure at the end of the surgical procedure.

The inferior epigastric vessels which span across more than half of the rectus muscle's width are identified and ligated.

In patients with peripheral arterial disease, ligation of inferior epigastric vessels may lead to distal ischemia.

The complications associated with Maylard incision are delayed bleeding from cut edges of rectus muscles and from deep epigastric vessels.