December 2006 · Vol. 18, No. 12Secrets to successful vaginal hysterectomy
Challenges such as an enlarged uterus or history of pelvic surgery need not precipitate a switch to the abdominal route
|
Fast Track
It is essential that the uterine vessels be ligated before morcellation begins
Perform cystoscopy after all vaginal hysterectomies
Avoid blunt dissection in women with a history of pelvic surgery
Most bladder injuries during vaginal surgery occur above the trigone and can be repaired by the gynecologic surgeon
|
|
James
B.
Unger,
MDAssociate Professor, Director of Gynecologic Pelvic Surgery, Edward J. Crawford Jr, MD, Professor of Gynecologic Surgery, and Residency Program Director, Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, Shreveport, La
|
