Uterosacral-cardinal ligament stretching prior to vaginal hysterectomy increases uterine descent: a novel technique |
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Authors: | Krissi Haim Eitan Ram Goldchmit Chen Peled Yoav |
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Institution: | a Urogynecology Unit, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel b Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel |
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Abstract: | ObjectiveTo examine the effect of uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy on uterine descent.Study designA 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.ResultsUterosacral-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).ConclusionUterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy increase uterine descent. |
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Keywords: | Vaginal hysterectomy Uterosacral ligaments Pelvic floor surgery |
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