[Improved technics in 578 abdominal total hysterectomies]

This paper reports the improved technics in 578 abdominal total hysterectomies. After dividing the infundibulo-pelvic ligaments and both layers of the broad ligaments the ovarian vessels were dissected out, cut and ligated, the utero-sacral ligaments revered but not ligated, and if necessary, the bleeding points were tied. After cutting the intervening tissues on both sides of the uterus, the uterine vessels could be identified, clamped and ligated at level below the cervical internal os. The cut edges of the vaginal cuff had to be approximated exactly, avoiding too close and too tight sutures. There was no organ injured during the operations, no abdominal pain nor hemorrhage from the cut edge of vaginal cuff after operation. Of the 520 patients followed up after operation, 518 cases had good healing at the vaginal stumps with granulation in only 2 cases, the effect with this improved method of hysterectomy has been considered satisfactory.