A new approach to hysterectomy without colpotomy: Pelviscopic intrafascial hysterectomy

Vietz, Paul F.; Ahn, TS

doi:10.1016/s0002-9378(94)70237-3

Cited by 20 publications

(5 citation statements)

References 8 publications

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“…17,18 It is interesting to note, that the mean operating time for our pelviscopic CISH procedure (158.99 min) was shorter than that reported by other experienced surgeons, e.g. 210 min, 19,20 and surprisingly similar to times for other types of pelviscopic hysterectomies, such as 160 and 164 min for LAVH. 21,22 With surgical experience in the CISH procedure we should certainly be able to shorten the operating time.…”

Section: Discussionmentioning

confidence: 48%

From laparotomy to pelviscopic intrafascial hysterectomy

et al. 1996

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Objective This study is intended to clarify the significance of different types of intrafascial hysterectomies in comparison to classical hysterectomy techniques in cases of benign uterine disorders. Design A comparison of six types of hysterectomy, performed for benign indications, as transabdominal, vaginal or intrafascial hysterectomy which were carried out in our Department of Obstetrics and Gynecology between 1993 and 1994. Subject and intervention 368 women who underwent hysterectomies for benign disorders at the University of Kiel. Of these, 58.7% were performed either by pelviscopic or by laparotomic classic intrafascial supracervical hysterectomy (CISH). Of the remaining, 14.8% were performed by abdominal hysterectomy, 13.6% by intrafascial vaginal hysterectomy (IVH), 12.2% by vaginal hysterectomy (VH), and only 0.05% by laparoscopic‐assisted vaginal hysterectomy (LAVH). Measures Comparative data of these six surgical techniques, concerning patient characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weight and postoperative analgesia, are described. Results and conclusions Although no striking advantages of the three intrafascial supracervical hysterectomy techniques described became evident, the operating time of the new procedures was a little shorter than the conventional ones as was the postoperative convalescence time, and the techniques, although new, could compare well with to 50 years of experience with abdominal and vaginal hysterectomy.

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Section: Discussionmentioning

confidence: 48%

From laparotomy to pelviscopic intrafascial hysterectomy

et al. 1996

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“…Les techniques intrafasciales de l'hystérectomie abdominale [28] et de l'hysté-rectomie endoscopique [17,29,30] présentent une morbidité plus faible que les mêmes opérations effectuées par la voie extrafasciale. A notre avis cela doit être aussi valable pour la modification présentée ici.…”

Section: Discussionunclassified

Hystérectomie vaginale leniens

Tapia¹

2004

Gynäkol Geburtshilfliche Rundsch

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L’auteur présente une technique de l’hystérectomie vaginale intrafasciale, qui est une modification de l’hystérectomie extrafasciale de l’utérus à partir du fond utérin. L’incision selon Strassmann remplace la circoncision habituelle. Cela nous permet de garder le fascia pubovésicocervical postérieur. Ensuite bascule antérieure du corps utérin devant la vulve par l’ouverture du cul-de-sac, section de ligaments utéro-annexiels et dissection du tissu péri-cervical postérieur. Section et ligature intrafasciales des ligaments cardinaux sont nécessaires. Les techniques intrafasciales de l’hystérectomie présentent une morbidité plus faible que les opérations extrafasciales. Le risque de lésion de l’uretère serait aussi diminué. L’avantage décisif de cette technique est sa simplicité.

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“…The patient was para 2 with normal deliveries. Four years earlier, she had undergone laparoscopic hysterectomy ad modum classical intrafascial serrated-edged macro-morcellated (SEMM) hysterectomy (CISH) because of menorrhagia and uterine leiomyomas [7,8]. CISH is a synthesis of three well-established and widely used procedures:…”

Section: Case Reportmentioning

confidence: 99%

Complex hyperplastic endometrium in a peritoneal leiomyoma following a CISH hysterectomy

Knudsen

Lundorff

2006

Gynecol Surg

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We describe a case of a patient presenting with an abdominal tumor 4 years after a classical intrafascial serrated-edged macro-morcellated hysterectomy. The tumor was removed surgically and proved microscopically to be a peritoneal leiomyoma containing complex hyperplastic endometria. To our knowledge, this has never been described before. In addition, the pathogenesis of this rare disease is discussed.

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A new approach to hysterectomy without colpotomy: Pelviscopic intrafascial hysterectomy

Cited by 20 publications

References 8 publications

From laparotomy to pelviscopic intrafascial hysterectomy

From laparotomy to pelviscopic intrafascial hysterectomy

Hystérectomie vaginale leniens

Complex hyperplastic endometrium in a peritoneal leiomyoma following a CISH hysterectomy

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