Does supracervical hysterectomy provide more support to the vaginal apex than total abdominal hysterectomy?

被引：5

作者：

Rahn, David D. ^{[1
]}

Marker, Allison C. ^{[1
]}

Corton, Marlene M. ^{[1
]}

Roshanravan, Shayzreen M. ^{[1
]}

McIntire, Donald D. ^{[1
]}

Schaffer, Joseph I. ^{[1
]}

Wai, Clifford Y. ^{[1
]}

机构：

[1] Univ Texas Southwestern Med Ctr Dallas, Dept Obstet & Gynecol, Div Urogynecol & Reconstruct Pelvic Surg, Dallas, TX 75390 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2007年 / 197卷 / 06期

关键词：

anatomy; apical support; prolapse; subtotal hysterectomy;

D O I：

10.1016/j.ajog.2007.08.050

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页码：650.e1 / 650.e4

页数：4

共 12 条

[1] HYSTERECTOMY FOR BENIGN LESIONS [J].