title: Manchester repair. An alternative to hysterectomy.
abstract: Local data regarding Manchester repair are not available in the current literature. We report a retrospective case series of 7 women who presented with uterine prolapse, and underwent Manchester repair from January 1997 to May 2008 at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. All of these women were multiparous (para 31) and wanted to avoid hysterectomy, and become pregnant. The duration of the procedure was 119 16 minutes. No operative complications were observed. The mean duration of follow up was 52 years. All of the women were satisfied with the procedure. Two (28.6%) patients subsequently became pregnant and had a successful vaginal delivery. Manchester repair is a valid alternative to hysterectomy for women with a second degree uterine prolapse who want to preserve their fertility.
authors.affiliation: Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. aarouzi@gmail.com
authors.forename: Abdulrahim A
authors.initials: AA
authors.lastname: Rouzi
authors.forename: Nora N
authors.initials: NN
authors.lastname: Sahly
authors.forename: Amal S
authors.initials: AS
authors.lastname: Shobkshi
authors.forename: Hassan S
authors.initials: HS
authors.lastname: Abduljabbar
mesh_terms: D000328:Adult; D001956:Broad Ligament / Q000601:surgery*; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy; D017060:Patient Satisfaction; D012008:Recurrence; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*