Intra-fascial (or intra-cervical) hysterectomy with the help of a cervicotome. 33 cases
Lenck, L.C.; Suzanne, F.; Jacquetin, B.
Revue Francaise de Gynecologie et d'Obstetrique 87(5): 299-304
1992
ISSN/ISBN: 0035-290X PMID: 1626177 Document Number: 397451
The authors report 33 hysterectomies carried out by abdominal route (isolated or combined with other surgical procedures) using a Cervicotome. This instrument carries out ablation of the endocervix and the junction zone without preliminary dissection of the paracervix. The operating procedure is explained: subtotal hysterectomy which is then completed using the Cervicotome. Hemostasis and closing of the section. The analysis of the outcome assesses preoperative complications and the quality of postoperative sequelae. The patient follow-up made it possible to analyse the anatomical and functional results (notably sexual). The advantages of this procedure over extra- and intra-fascicular hysterectomies are listed. This instrument was initially designed to eliminate the risks of lesions of surrounding organs during difficult hysterectomies (when dissection of the paracervix could be dangerous), but the operative convenience and quality of the outcome have led the authors to use it for all abdominal route hysterectomies.