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Management of the Adnexa

  • Chapter
The Difficult Vaginal Hysterectomy

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Abstract

The vaginal approach to hysterectomy is generally confined to patients in whom there is no suspicion of adnexal pathology. Removal of normal or nonadherent ovaries abdominally is straightforward, requiring little additional operative time or blood loss. Transvaginal adnexectomy is often considerably more difficult and not infrequently technically prohibitive. This chapter describes techniques for removal of the adnexa through the vagina. A laparoscopy-assisted technique is described for completeness, and the incidental finding of an ovarian tumor at the time of vaginal hysterectomy is discussed. For the transvaginal approach to adnexectomy, emphasis is placed on good surgical judgment. The surgeon not only should be able to apply a technique of adnexectomy that best suits the individual situation but must also recognise when adnexal removal is likely to be hazardous and best not attempted.

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Authors and Affiliations

  1. Department of Obstetrics-Gynecology, University of South Florida, College of Medicine, Suite 529 Harbour Side Medical Tower, Davis Islands, 4 Columbia Drive, 33606, Tampa, FL, USA

    Mitchel S. Hoffman (Associate Professor) & William N. Spellacy (Professor and Chairman)

Authors
  1. Mitchel S. Hoffman
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  2. William N. Spellacy
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© 1995 Springer Science+Business Media New York

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Hoffman, M.S., Spellacy, W.N. (1995). Management of the Adnexa. In: The Difficult Vaginal Hysterectomy. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4323-4_3

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  • DOI: https://doi.org/10.1007/978-1-4757-4323-4_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-4325-8

  • Online ISBN: 978-1-4757-4323-4

  • eBook Packages: Springer Book Archive

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