Vaginal hysterectomy for the large uterus.

摘要: Objective To assess the feasibility and safety of performing vaginal hysterectomy on enlarged uteri equivalent 14 to 20 weeks gestation in size. Design A prospective observational study. Setting The Royal Free Hospital, London. Participants Fourteen consecutive women undergoing for uterine fibroids up size. Interventions Vaginal with or without bilateral salpingo-oophorectomy oophorectomy. Main outcome measures Uterine size weight, techniques used reduce size, surgical outcome, operative time, estimated blood loss, intra-and post-operative complications, duration hospitalisation. Results mean was 16.3 (range weeks). All hysterectomies were completed successfully by route. weighed 380 1100 g, a 638.7 g. Bisection combined myomectomy morcellation most cases obtain reduction whereas coring only utilised two cases. operating time 84.3 min range 30 150 min. complications transient haematuria (n= 6) superficial grazes 5). One required transfusion. hospital stay 3.7 days 2 9 days). Conclusion Enlargement uterus should no longer be considered contraindication hysterectomy. Many more carried out vaginally resorting abdominal laparoscopic surgery.