title: Supracervical hysterectomy - the vaginal route.
abstract: Removal of the cervix during hysterectomy is not mandatory. There has been no irrefutable evidence so far that total hysterectomy is more beneficial to patients in terms of pelvic organ function. The procedure that leaves the cervix intact is called a subtotal hysterectomy. Traditional approaches to this surgery include laparoscopic and abdominal routes. Vaginal total hysterectomy has been proven to present many advantages over the other approaches. Therefore, it seems that this route should also be applied in the case of subtotal hysterectomy. We present 9 cases of patients who underwent subtotal hysterectomy performed through the vagina for benign gynecological diseases.
authors.affiliation: Department of Surgical, Endoscopic and Oncologic Gynecology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.
authors.forename: Miłosz
authors.initials: M
authors.lastname: Wilczyński
authors.affiliation: Department of Surgical, Endoscopic and Oncologic Gynecology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Cieślak
authors.affiliation: Department of Surgical, Endoscopic and Oncologic Gynecology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Malinowski
keywords: hysterectomy; uterine diseases; vaginal gynecological surgical procedures
references.citation: Gynecol Oncol. 1992 May;45(2):198-201
references.pmid: 1592287
references.citation: Aust N Z J Obstet Gynaecol. 1990 May;30(2):161-5
references.pmid: 2400362
references.citation: Acta Obstet Gynecol Scand. 2004 Feb;83(2):191-6
references.pmid: 14756739
references.citation: Cochrane Database Syst Rev. 2009 Jul 08;(3):CD003677
references.pmid: 19588344
references.citation: Br J Urol. 1993 Dec;72(6):868-72
references.pmid: 8306148
references.citation: N Engl J Med. 2002 Oct 24;347(17):1318-25
references.pmid: 12397189
references.citation: Ginekol Pol. 2010 Feb;81(2):140-3
references.pmid: 20232714
references.citation: Ginekol Pol. 2009 Nov;80(11):856-60
references.pmid: 20088401
references.citation: J Am Assoc Gynecol Laparosc. 2002 Aug;9(3):333-8
references.pmid: 12101331
references.citation: Am Fam Physician. 1997 Feb 15;55(3):827-34
references.pmid: 9048505
references.citation: BJOG. 2000 May;107(5):620-5
references.pmid: 10826576
references.citation: J Minim Invasive Gynecol. 2007 Mar-Apr;14(2):145-52
references.pmid: 17368247
references.citation: Best Pract Res Clin Obstet Gynaecol. 2011 Apr;25(2):133-52
references.pmid: 21185235
references.citation: Obstet Gynecol. 2008 Dec;112(6):1262-1269
references.pmid: 19037034
references.citation: Obstet Gynecol. 2003 Aug;102(2):301-5
references.pmid: 12907103
references.citation: Acta Obstet Gynecol Scand. 1983;62(2):147-52
references.pmid: 6868963
references.citation: Am J Obstet Gynecol. 2001 Jun;184(7):1386-9; discussion 1390-1
references.pmid: 11408857
references.citation: Cochrane Database Syst Rev. 2006 Apr 19;(2):CD004993
references.pmid: 16625620
references.citation: BMJ. 2004 Jan 17;328(7432):129
references.pmid: 14711749
references.citation: Am J Obstet Gynecol. 1995 Nov;173(5):1452-60
references.pmid: 7503184