AI Article Synopsis
- The study aimed to determine if preserving the cervix during hysterectomy can help prevent vaginal vault prolapse later on.
- The research involved performing supracervical hysterectomies on 12 unembalmed cadavers while measuring how far the cervical stump moved under different weights.
- Results indicated that both total and supracervical hysterectomy showed similar resistance to pressure applied to the vaginal apex, suggesting that cervical preservation may not significantly impact the risk of prolapse.
Article Abstract
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.
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| http://dx.doi.org/10.1016/j.ajog.2007.08.050 | DOI Listing |
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