title: Histologic features of the CISH procedure.
abstract: OBJECTIVE
  To evaluate the classic intrafascial SEMM (serrated-edge macromorcellated) hysterectomy (CISH) performed by pelviscopy and by laparotomy, and determine the histologic features of the procedures.
  
  
  METHODS
  The first 253 women who required hysterectomy were assigned to undergo the procedure by pelviscopy or laparotomy based on uterine size.
  
  
  METHODS
  One hundred fifty-two women underwent CISH by pelviscopy and 101 by laparotomy.
  
  
  METHODS
  Between September 1991 and December 1993, the patients underwent the two procedures. Uterine leiomyomas with menstrual disorders and pressure symptoms were the principal indications (61%).
  
  
  RESULTS
  Histologic findings were in agreement with indications for the procedures. Leiomyomas and leiomyomas with adenomyosis were the most frequent findings. Histologic analysis revealed that the squamocolumnar transformation zone was totally removed in all cases, and all cervical glands were excised in 92%.
  
  
  CONCLUSIONS
  Cervical dysplasia is not a contraindication to CISH, but emphasizes the importance of adequate preoperative screening. This is a conservative operation that my protect against some cervical cancers.
authors.affiliation: Department of Obstetrics and Gynecology, Christian Albrechts University of Kiel, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Alvarez-Rodas
authors.forename: L
authors.initials: L
authors.lastname: Mettler
authors.forename: E
authors.initials: E
authors.lastname: Castro
authors.forename: J
authors.initials: J
authors.lastname: Lüttges
authors.forename: K
authors.initials: K
authors.lastname: Semm
mesh_terms: D000328:Adult; D000368:Aged; D003464:Culdoscopy; D004714:Endometrial Hyperplasia / Q000473:pathology / Q000601:surgery; D004715:Endometriosis / Q000473:pathology / Q000601:surgery; D004724:Endoscopy; D004848:Epithelium / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007813:Laparotomy; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery; D008599:Menstruation Disturbances / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D011312:Pressure; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000473:pathology*