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Prophylactic bilateral oophorectomy during vaginal hysterectomy for benign pathology
Marco Camanni1, Emanuela Mistrangelo, Giorgio Febo
1Ginteam, Unit of Minimally Invasive Gynecology, Corso Marconi 35, Torino, Italy.
Objective:
The aim of this study was to assess the feasibility and safety of vaginal removal of ovaries at the time of vaginal hysterectomy.
Materials And Methods:
All patients candidate to hystero-salpingo-oophorectomy by transvaginal approach, between 1 March 2004 and 28 February 2007, were admitted in the study.
Results:
Of the 472 women included in the study, 432 (91.5%) underwent hysterectomy and bilateral oophorectomy by vaginal approach. There was only one case of major vessel injury, but no patients required blood transfusion. All the operations were performed only by vaginal route and no conversion to the abdominal route was required.
Conclusion:
The need to perform oophorectomy should not be considered a contraindication to vaginal hysterectomy.
