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Uterosacral-cardinal ligament stretching prior to vaginal hysterectomy increases uterine descent: a novel technique.
- Source :
-
European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2012 Jan; Vol. 160 (1), pp. 71-3. Date of Electronic Publication: 2011 Dec 09. - Publication Year :
- 2012
-
Abstract
- Objective: To examine the effect of uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy on uterine descent.<br />Study Design: A prospective trial of 25 consecutive women undergoing vaginal hysterectomy. Pre-operative, apical, anterior and posterior wall POP-Q measurements were recorded for each patient before and after uterosacral-cardinal ligament complex stretching during general anesthesia.<br />Results: Uterosacral-cardinal ligament complex stretching yielded a significant increase in mean stage of uterine and anterior wall descent (2.6 ± 0.6 vs. 3.2 ± 0.6 cm, p<0.001, and 2.5 ± 0.8 vs. 2.9 ± 0.8 cm, respectively, p<0.004). There was no significant change in posterior wall prolapse measurements (1.3 ± 0.7 vs. 1.4 ± 0.8 cm, p=0.05).<br />Conclusion: Uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy increase uterine descent.<br /> (Copyright © 2011. Published by Elsevier Ireland Ltd.)
Details
- Language :
- English
- ISSN :
- 1872-7654
- Volume :
- 160
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- European journal of obstetrics, gynecology, and reproductive biology
- Publication Type :
- Academic Journal
- Accession number :
- 22169812
- Full Text :
- https://doi.org/10.1016/j.ejogrb.2011.09.039