TY - JOUR
T1 - Uterosacral-cardinal ligament stretching prior to vaginal hysterectomy increases uterine descent
T2 - A novel technique
AU - Krissi, Haim
AU - Eitan, Ram
AU - Goldchmit, Chen
AU - Peled, Yoav
PY - 2012/1
Y1 - 2012/1
N2 - Objective: To examine the effect of uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy on uterine descent. 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. 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). Conclusion: Uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy increase uterine descent.
AB - Objective: To examine the effect of uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy on uterine descent. 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. 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). Conclusion: Uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy increase uterine descent.
KW - Pelvic floor surgery
KW - Uterosacral ligaments
KW - Vaginal hysterectomy
UR - http://www.scopus.com/inward/record.url?scp=84855824921&partnerID=8YFLogxK
U2 - 10.1016/j.ejogrb.2011.09.039
DO - 10.1016/j.ejogrb.2011.09.039
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 22169812
AN - SCOPUS:84855824921
SN - 0301-2115
VL - 160
SP - 71
EP - 73
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
IS - 1
ER -