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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4
th
International Conference on
Obligatory subtotal hysterectomy: Novel strategy for prevention of cervical stump
carcinoma
Mohammad Emam
and
Reda Hemida
Mansoura Faculty of Medicine, Egypt
O
bligatory subtotal hysterectomy (OSH) is performed
when an experienced gynecologist is obligated to
performsubtotalhysterectomynottotalhysterectomy,dueto:
Extensive adhesions, Some types of leiomyoma, Peripartum
(uncontrollable postpartum haemorrhage, rupture uterus
and abnormal Placental adhesions). Total hysterectomy is the
golden standard operation when hysterectomy is indicated.
Cervical stump carcinoma is a major disadvantage of subtotal
hysterectomy (1% to 2%.). To pinpoint our experience on
performing certain simple and applicable precautions, for
prevention of stump cervical carcinoma on performing
(OSH). Prospectively, we apply certain precautions on
performing 26 (OSH) in last ten years, including, ablation of
endocervical columnar epithelium and transformation zone
intraoperatively Then follow up, utilizing cervical screening
recommendations, postoperatively with visual inspection
with acetic acid (VIA). The prospective evaluation of 26 cases
of (OSH), where the precautions mentioned were applied, no
report of any case with Squamous intraepithelial lesions or
stump cervical carcinoma till now. Morbidity and mortality
from precancerous cervical lesions or stump carcinoma can
be prevented by adherence to the recommended our novel
intraoperative and postoperative precautions.
e
:
mae335@hotmail.comRes Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-009