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Section-07 Special Cases: Vaginal Hysterectomy

BOOK TITLE: Advanced Vaginal Surgery

Author
1. Sheth Shirish S
2. Zimmerman Carl W
3. Finkelstein Seth
ISBN
9789352700172
DOI
10.5005/jp/books/14124_9
Edition
1/e
Publishing Year
2018
Pages
22
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
2. Vanderbilt University School of Medicine, Nashville, Tennessee, USA
3. Lenox Hill Hospital, Manhattan, Kingsbrook Jewish Medical Center, Brooklyn, New York, USA
Chapter keywords
Vaginal hysterectomy, VH, vesicouterine peritoneum, VUP, pulmonary fibrosis, anesthesia, bicornuate uterus, metastatic breast cancer, uterine adenomyosis

Abstract

This section focuses on special cases of vaginal hysterectomy. This section comprises 16 sections that are described as VH plus history of rupture uterus and two caesarean sections, VH plus broad ligament myomectomy without laparoscopy plus contralateral endometriotic cyst, VH for CIN III, VH for metastatic breast cancer plus uterine adenomyosis, VH: prophylactic for hydatidiform mole, VH with BSO for twisted ovarian cyst, VH for uterine fibroids with history of failed abdominal hysterectomy, VH under local anesthesia for pulmonary fibrosis, VH with bicornuate uterus, bladder stone removal at VH plus anterior and posterior repair, vaginal hysterectomy as emergency procedure for cornual ectopic pregnancy, VH in nullipara with ongoing chemotherapy for non-gynecologic malignancies, and VH for endometrial carcinoma in morbidly obese with history of caesarean section. Vaginal hysterectomy was performed without difficulty. Because of three caesarean sections and the ruptured uterus on one occasion, the vesicouterine peritoneum (VUP) or the bladder separation was achieved via the uterocervical-broad ligament space and hysterectomy completed as per routine.

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