title: A new method for gaining entry into the scarred anterior cul-de-sac during transvaginal hysterectomy.
abstract: This report describes vaginal hysterectomy in nine patients who had a history of multiple prior cesarean sections. In seven of the nine patients, safe entry into the anterior cul-de-sac was facilitated by the use of a bent uterine sound.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33682-0179.
authors.forename: M S
authors.initials: MS
authors.lastname: Hoffman
authors.forename: M
authors.initials: M
authors.lastname: Jaeger
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix; D004312:Douglas' Pouch / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D013525:Surgical Instruments