Uterine Disease After the Manchester Repair Operation

Tipton, Richard H.; Atkin, P. F.

doi:10.1111/j.1471-0528.1970.tb04413.x

Cited by 38 publications

(21 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tipton et al describe five women (total study group of 82 women) who desired pregnancy after the Manchester procedure [62]. Two of them had an uneventful pregnancy, one had a miscarriage at 3 months and two had no pregnancy at all.…”

Section: Pregnancymentioning

confidence: 99%

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

View full text Add to dashboard Cite

Several vaginal procedures are available for treating uterine descent. Vaginal hysterectomy is usually the surgeon's first choice. In this literature review, complications, anatomical and symptomatic outcomes, and quality of life after vaginal hysterectomy, sacrospinous hysteropexy, the Manchester procedure, and posterior intravaginal slingplasty are described. All procedures had low complication rates, except posterior intravaginal slingplasty, with a tape erosion rate of 0-21%. Minimal anatomical success rates regarding apical support ranged from 85% and 93% in favor of the Manchester procedure. Data on symptomatic cure and quality of life are scarce. In studies comparing vaginal hysterectomy with sacrospinous hysteropexy or the Manchester procedure, vaginal hysterectomy had higher morbidity. Because no randomized, controlled trials have been performed comparing these surgical techniques, we can not conclude that one of the procedures prevails. However, one can conclude from the literature that vaginal hysterectomy is not the logical first choice.

show abstract

Section: Pregnancymentioning

confidence: 99%

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

View full text Add to dashboard Cite

show abstract

“…Other technique is the Manchester operation, that includes the vaginal shortening of the uterosacral and cardinal ligaments with cervical amputation which has a deleterious effect on fertility and also complicates with dyspareunia, dysmenorrhea, recurrent uterine prolapse and enterocele formation (3,4). Transvaginal sacrospinous fixation is the other vaginal operation that includes the fixation of cervix to the sacrospinous ligament by dissecting pararectal space down to the sacrospinous ligament.…”

Section: Discussionmentioning

confidence: 99%

“…Historically, the uterine preservation during prolapse surgery was first described as the Manchester procedure (3,4). The main aim of the pelvic floor reconstructive surgery should be to correct anatomical defects maintaining the uterus in normal anatomic position.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

et al. 2014

View full text Add to dashboard Cite

ARTICLE INFO ______________________________________________________________ ______________________Objective: The aim of the present study was to evaluate the safety and efficacy of a "Cravat'' technique for the management of uterine prolapse in patients who want to preserve uterus, involving suspension of the uterus from the sacral promontory by using polypropylene mesh. Materials and Methods:A prospective observational study between January 2011 and September 2013 was conducted. Prior to surgery, prolapse assessment was undertaken with Baden-Walker halfway system to grade the degree of prolapse at all sites. Patients with severe uterine prolapse (stage II-IV) who want to preserve uterus, were operated with Cravat technique. All patients were evaluated at 2 weeks and 6 weeks after surgery and followed for 6 months. Outcomes were evaluated objectively by vaginal examination using Baden-Walker halfway classification, and subjectively classifying patients as 'very satisfied', 'satisfied' and 'not satisfied' at the 6th month postoperatively. Results: Sacral uteropexy was successfully performed by laparoscopy in 32/33 patients (one needed to be converted to laparotomy). Nine patients also had a concurrent procedure as colporaphy anterior, colporaphy posterior or transobturator tape. Postoperative recovery has been uneventful with subjective and objective cure rates were 96.9% and 93.9%, respectively at six month. One recurrence of total prolapse needed to be reoperated and two patients with sacrouteropexy still remained at stage 2 prolapse. There have been no cases of graft exposure, rejection or infection with a median follow-up of 23.9 months. Conclusions: Laparoscopic sacral uteropexy with "Cravat technique" was found to be safe and simple procedure.

show abstract

“…This study, however, was based on a questionnaire sent to patients with a response rate of only 52%. In another study with 6-12 years of postoperative follow-up, Tipton et al [27] found that 17 of 82 patients (21%) undergoing the Manchester procedure later required additional uterine operations, including eight hysterectomies. It should be pointed out, however, that this number included patients undergoing hysterectomy for non-prolapse indications, including bleeding and carcinoma, and therefore may not accurately portray the likelihood of prolapse recurrence.…”

Section: Manchester Proceduresmentioning

confidence: 99%

Uterine preservation during surgery for uterovaginal prolapse: a review

Diwan

Rardin

Kohli

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

View full text Add to dashboard Cite

The traditional surgical treatment for uterovaginal prolapse has been vaginal hysterectomy. For many reasons, women may request uterine preservation at the time of prolapse surgery. The purpose of this paper is to review the medical literature pertaining to the role of uterine preservation during reconstructive surgery for uterovaginal prolapse. A MEDLINE search of literature in the English language (1966 to current) was carried out using the keywords 'hysterectomy', 'hysteropexy', 'uterine preservation', 'uterine suspension' and 'uterovaginal prolapse.' Fourteen articles primarily addressing the surgical repair of uterovaginal prolapse with uterine preservation were included in this review. Papers primarily addressing other forms of pelvic organ prolapse, incontinence or obliterative procedures were excluded. Existing procedures and their clinical outcomes were reviewed. The current literature suggests that uterine preservation during surgery for uterovaginal prolapse may be an option in appropriately selected women who desire it; prospective, randomized trials are needed to corroborate this.

show abstract

Uterine Disease After the Manchester Repair Operation

Cited by 38 publications

References 2 publications

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

Uterine preservation during surgery for uterovaginal prolapse: a review

Contact Info

Product

Resources

About