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Gynecological Surgery
Published in: Gynecological Surgery 4/2016

01-11-2016 | Short Communication

Fragmented (multi-step) removal of the cervix in total hysterectomy: A technique in obese females with deep pelvis and long cervix

Author: Ahmed Samy El-Agwany

Published in: Gynecological Surgery | Issue 4/2016

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Excerpt

Hysterectomy is the most common major gynecological operation in the world. A high body mass index (BMI) is a risk factor for diseases leading to hysterectomy such as fibroids and abnormal uterine bleeding [1]. High BMI is associated with bleeding, infections, long operating time, and iatrogenic injuries during surgery [2]. A fibroid uterus is more mobile than small atrophic uterus. In addition, the presence of fibroids permits easier traction to the uterine fundus during surgery. This facilitates the procedure of hysterectomy despite of obesity [1‐4]. However, we proposed a new technique for easier management of hysterectomy in large size uterus with limited exposure in obese patients through Pfannenstiel incision. …
Literature
1.
Takeda T, Sakata M, Isobe A, Miyake A, Nishimoto F, Ota Y, Kamiura S, Kimura T (2008) Relationship between metabolic syndrome and uterine leiomyomas: A case-control study. Gynecol Obstet Investig 66:14–17
2.
Choban PS, Flancbaum L (1997) The impact of obesity on surgical outcomes: a review. J Am Coll Surg 185:593–603CrossRefPubMed
3.
Makinen J, Johansson J, Toma’s C, Thomas E, Heiponen PK, Laatikainen T, Kauko M, Heikkinen AH, Sjoberg J (2001) Morbidity of 10 110 hysterectomies by type of approach. Human Reprod 16:1473–1478CrossRef
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Rasmussen KL, Neumann G, Ljungstrom B, Hansen V, Lauszus FF (2004) The influence of body mass index on the prevalence of complications after vaginal and abdominal hysterectomy. Acta Obstet Gynecol Scand 83:85–88CrossRefPubMed
Metadata
Title
Fragmented (multi-step) removal of the cervix in total hysterectomy: A technique in obese females with deep pelvis and long cervix
Author
Ahmed Samy El-Agwany
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Gynecological Surgery / Issue 4/2016
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-016-0989-6

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