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Section-04 Nullipara and Vaginal Hysterectomy

BOOK TITLE: Advanced Vaginal Surgery

Author

1. Sheth Shirish S

ISBN

9789352700172

DOI

10.5005/jp/books/14124_6

Edition

1/e

Publishing Year

2018

Pages

Author Affiliations

1. Breach Candy Hospital, Sir Hurkisondas Nurrotamdas Hospital and Sheth Nursing Home, 2/2, Navjivan Society, Lamington Road, Mumbai, India, e-mail:silsal@bom2.vsnl.net.in, Breach Candy Hospital and Sir Hurkisondas Nurrotamdas Hospital, Mumbai, silsal@bom2.vsnl.net.in, Sir Hurkisondas Nurrotamdas and Saifee Hospitals, Mumbai, Maharashtra, India, Breach Candy Hospital and Sir Hurkisondas Nurrotamdas Hospital, Mumbai, Maharashtra, India, Breach Candy Hospital, Sir Hurkisondas Hospital and Saifee Hospital, Mumbai, Maharashtra, India, Mumbai, King Edward Memorial Hospital and Seth GS Medical College, Mumbai, Maharashtra, India (1964–1994); International Federation of Gynecology and Obstetrics (FIGO) from 2000–2003; Breach Candy and Saifee Hospitals, Mumbai, Maharashtra, India, Breach Candy, and Saifee Hospitals, Mumbai, Maharashtra, India; International Federation of Gynecology and Obstetrics (FIGO), 2000-2003

Chapter keywords

Nullipara, vaginal hysterectomy, total laparoscopic hysterectomy, TLH, obstetric trauma, endometrial cancer, bilateral salpingo-oophorectomy, BSO, infundibulopelvic ligament, IPL

Abstract

Abstract

This section focuses on nullipara and vaginal hysterectomy. Nullipara and particularly with an intact hymen induce most gynecologists to perform total laparoscopic hysterectomy (TLH) or open the abdomen for hysterectomy. However, for a normal size uterus without pelvic pathology and obstetric trauma in the past, the vaginal route should be an ideal choice. It will spare the abdomen and thus reduce postoperative wound dressing, etc. in a highly disturbed, noncooperative patient. This section comprises of 6 sections that are described as VH in nullipara with intact hymen, VH with uterine debulking, VH with uterine debulking plus right ovarian endometrial cystectomy, VH with BSO for bilateral large hydrosalpinx, VH plus vaginal cuff with BSO in obese, diabetic with endometrial cancer, and VH with BSO for twisted left ovarian cyst.

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