What type of retractor is typically used to aid in exposure during a Pfannenstiel incision in a C-section?

A Goulet retractor, also known as an Army/Navy retractor, is commonly employed during a Pfannenstiel incision in a C-section to facilitate exposure of the surgical site. This retractor is designed with two blades of different lengths, allowing for effective retraction of soft tissues such as the abdominal wall and uterus. The design of the Goulet retractor makes it particularly useful for providing a clear view of the surgical field without obstructing the surrounding structures, which is crucial during the delicate process of a cesarean delivery.

This choice aligns with the requirements of the Pfannenstiel incision, as the retractor can be positioned conveniently to maintain exposure while the surgeon performs the procedure. Additionally, its non-self-retaining nature allows for manual adjustment, which can be advantageous in the dynamic environment of surgery, where changes in exposure might be needed throughout the operation.

Other retractors, while useful in different surgical contexts, may not offer the same level of adaptability or ease of use in this specific scenario. For example, self-retaining retractors are often more complex and less suitable for procedures where constant adjustment is beneficial.