[Transvaginal hysterectomy. Sub-serous technic].
Intramyometrial coring is a useful method to reduce the size and increase the accessibility to the fundus uteri during vaginal hysterectomy, avoiding unnecessary traction on the utero-ovarian pedicles. A circumferential incision of the isthmus, 5 millimeters deep, gives access to an avascular plane between the myometrial mass and the superficial muscular layer and serosa of the uterus. Coring is easy, safe, non-hemorrhagic and allows the extension of indications of the vaginal route for hysterectomy.
Querleu
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Clinique Universitaire de Gynécologie Obstétrique et Pathologie de la Reproduction, Pavillon Paul-Gellé, Roubaix.
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000379:methods*; D009215:Myometrium / Q000601:surgery*
Hystérectomie par voie transvaginale. Technique de l'évidement sous-séreux.