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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Removal of the retained cervical stump
Wesley S Hilger1, Antonio R Pizarro, Javier F Magrina
1Department of Gynecology, Mayo Clinic, Scottsdale, AZ, USA. whilger@hotmail.com
American Journal of Obstetrics and Gynecology
|December 6, 2005
Summary
Surgical removal of the cervical stump (trachelectomy) after supracervical hysterectomy is infrequent. Vaginal trachelectomy, often for prolapse, has fewer complications than the abdominal approach.
Area of Science:
- Gynecology
- Surgical Procedures
Background:
- Supracervical hysterectomy leaves a cervical stump.
- Complications or indications may necessitate subsequent cervical stump removal (trachelectomy).
Purpose of the Study:
- To identify indications for trachelectomy.
- To determine complications associated with abdominal or vaginal trachelectomy.
Main Methods:
- Retrospective chart review of trachelectomy patients.
- Data collected from Mayo Clinic, Rochester, MN, and Scottsdale, AZ (1974-2003).
Main Results:
- 310 patients underwent trachelectomy after supracervical hysterectomy.
- Vaginal trachelectomy, commonly for prolapse, showed significantly fewer complications than the abdominal approach.
- Trachelectomy rates declined over the study period.
Conclusions:
- Cervical stump removal is infrequent and declining.
- The decline may correlate with fewer supracervical hysterectomies.
- Vaginal trachelectomy for prolapse is associated with minimal complications.
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