Does supracervical hysterectomy provide more support to the vaginal apex than total abdominal hysterectomy? - 22/08/11
Address correspondence to Clifford Y. Wai, MD, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, G6.220, Dallas, TX 75390-9032Résumé |
Objective |
The objective of the study was to assess whether cervical preservation at the time of hysterectomy may help prevent subsequent apical vaginal vault prolapse.
Study Design |
Supracervical hysterectomies were performed in 12 unembalmed cadavers. Successive hanging weights of 1, 2, 3, and 4 kg were loaded against the cervical stump and distances moved were recorded. The same process was repeated after completion of a total hysterectomy.
Results |
Average distances pulled with 1, 2, 3, and 4 kg of traction against the cervical stump were 17.8 ± 1.9, 24.1 ± 2.5, 29.0 ± 2.8, and 34.3 ± 3.5 mm, respectively. After total hysterectomy, these distances were 17.5 ± 2.5, 23.5 ± 2.6, 29.3 ± 3.1, and 34.5 ± 3.6 mm, respectively.
Conclusion |
In unembalmed cadavers, it appears that total abdominal hysterectomy and supracervical hysterectomy provide equal resistance to forces applied to the vaginal apex.
Le texte complet de cet article est disponible en PDF.Key words : anatomy, apical support, prolapse, subtotal hysterectomy
Plan
| Cite this article as: Rahn DD, Marker AC, Corton MM, et al. Does supracervical hysterectomy provide more support to the vaginal apex than total abdominal hysterectomy? Am J Obstet Gynecol 2007;197:650.e1-650.e4. Reprints not available from the authors. |
Vol 197 - N° 6
P. 650.e1-650.e4 - décembre 2007 Retour au numéro
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