Histologic features of the CISH procedure.
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.
Alvarez-Rodas
E
E
Department of Obstetrics and Gynecology, Christian Albrechts University of Kiel, Germany.
Mettler
L
L
Castro
E
E
Lüttges
J
J
Semm
K
K
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*