In general, the capable surgeon selects the vaginal route for hysterectomy based on a number of anatomic factors, including a relatively normal size uterus. When feasible, the operation, successfully completed through the vagina, affords the patient a quick and easy recovery. With little if any additional morbidity, certain uteri that are moderately enlarged can also be readily removed transvaginally while retaining the advantages of the vaginal approach. This chapter describes selection factors and operative techniques for the transvaginal removal of enlarged uteri. A versatile surgeon, who can adapt his or her technique to each individual case, becomes an even more important element to the successful transvaginal removal of enlarged uteri. The more difficult cases require an experienced surgeon using good surgical judgment.
KeywordsObstet Gynecol Vaginal Hysterectomy Broad Ligament Lower Uterine Segment Endometrial Cavity
Unable to display preview. Download preview PDF.
- 2.Gray LA. Vaginal hysterectomy. Charles C Thomas. Springfield, IL, 1955Google Scholar
- Garceau E. Vaginal hysterectomy as done in France. Am J Obstet Gynecol 31:305–346, 1895Google Scholar
- Harris BA. Vaginal hysterectomy in a community hospital. NY State J Med 76:1304–1307, 1976Google Scholar
- Heaney NS. A report of 565 vaginal hysterectomies performed for benign pelvic disease. Am J Obstet Gynecol 28:751–755, 1934Google Scholar
- Hoffman MS, DeCesare S, Kalter C. Abdominal hysterectomy versus transvaginal morcellation for the removal of enarged uteri. Am J Obstet Gynecol (In Press, 1994)Google Scholar
- Lash AF. A method for reducing the size of the uterus in vaginal hysterectomy. Am J Obstet Gynecol 42:452–459, 1941Google Scholar