[Reasons for re-laparotomy after supra-vaginal amputation of uterus]

There were analyzed 134 observations of oncological disease occurrence in women, to whom supravaginal amputation of uterus (SAU) was performed earlier. In 87 (64.9%) of women-patients cancer of the cervix uteri stump have occurred in terms from several months till 27 years after SAU performance. Significant frequency of the cervix uteri stump cancer in term before 3 years (in 23.5% of observations) and of endometrium cancer and sarcoma uteri (in 8.2%) occurrence witnesses about inadequate preoperative examination of the patients. In 26 (19.4%) of women cancer had occurred in not resected during SAU performance ovaries in terms from 1.5 till 17 years. For prophylaxis of cervix uteri stump cancer and ovarial cancer as well it is necessary to apply standardized preoperative examination of patients and to perform predominantly extirpation uteri operation for myoma uteri.