This study aims to evaluate the clinical effectiveness, anatomical benefits, and postoperative outcomes of the STIRRUP incision (Suprapubic Transverse Incision with Rectus Release for Upper Peritoneal Access) by comparing outcomes with historically established benchmarks and published data from traditional abdominal wall incisions used in complex gynecologic surgery.
Female patients aged 18-65 years
Indication for open gynecologic surgery for benign or borderline pelvic or abdominopelvic masses
Body Mass Index (BMI) ≥ 18 kg/m²
Willing and able to provide informed consent and attend follow-up
Malignant tumors requiring upper abdominal visceral resection (liver, spleen, diaphragm)
Emergency surgery
Previous complex abdominal wall reconstruction with mesh
Contraindication to general anesthesia