Research and Reports in Gynecology and Obstetrics

Obligatory subtotal hysterectomy: Novel strategy for prevention of cervical stump carcinoma

4^th International Conference on Obstetrics and Gynecology
November 14-15, 2019 | Singapore

Mohammad Emam and Reda Hemida

Mansoura Faculty of Medicine, Egypt

Posters & Accepted Abstracts : Res Rep Gynaecol Obstet

DOI: 10.35841/2591-7366-C3-009

Abstract:

Obligatory subtotal hysterectomy (OSH) is performed when an experienced gynecologist is obligated to perform subtotal hysterectomy not total hysterectomy, due to: 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.

Biography:

E-mail:

mae335@hotmail.com

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