Comparison of surgical and postoperative complications of vaginal hysterectomy and Manchester procedure.
OBJECTIVE
The Manchester procedure (MP) was compared to vaginal hysterectomy (VH). Surgical and postoperative complications were evaluated.


METHODS
A retrospective review of women undergoing VH and MP for uterine prolapse was performed. All the operations were performed between 1974-1994. MP was performed in 190 patients and VH (Heaney technique) in 231 women.


RESULTS
MP patients, when compared to VH patients, were more likely to be older and postmenopausal at the time of surgery. Statistically significant differences were found for operative time and blood loss. This difference was not dependent on the performance of anterior or posterior repair.


CONCLUSIONS
We suggest the use of MP as an alternative to VH in the absence of uterine pathology in appropriate candidates with uterine prolapse.
Kalogirou
D
D
2nd Department of Obstetrics and Gynecology, University of Athens, Areteion Hospital, Greece.
Antoniou
G
G
Karakitsos
P
P
Kalogirou
O
O
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D012044:Regression Analysis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*