TY - JOUR
T1 - Vaginal salpingo-oophorectomy surgical techniques
AU - Magrina, Javier F.
AU - Cornelia, Jeffrey L.
AU - Lee, Raymond A.
PY - 1999/11
Y1 - 1999/11
N2 - Analysis of the techniques used for vaginal removal of the adnexa after vaginal hysterectomy. A prospective evaluation of 100 patients who had undergone vaginal salpingo-oophorectomy after vaginal hysterectomy was performed. The adnexal anatomy, instrumentation, techniques, and technical factors were analyzed. Four phases of vaginal salpingo-oophorectomy were noted: 1) preparation of the operative field, 2) preparation of the adnexal areas, 3) extirpation of the adnexa, and 4) ligation of the ovarian pedicle. Extirpation of the adnexa was performed using two primary techniques: the mesosalpinx-mesovarium and round ligament. However, several variations of these techniques (i.e., single- and double-pedicle, two-stage, preservation of the uteroovarian pedicle) were necessary for the removal of the adnexa in all patients. Preparation of the operative field and the adnexa and variations of the customary techniques used for vaginal salpingo-oophorectomy are necessary for the performance of a successful vaginal salpingo-oophorectomy.
AB - Analysis of the techniques used for vaginal removal of the adnexa after vaginal hysterectomy. A prospective evaluation of 100 patients who had undergone vaginal salpingo-oophorectomy after vaginal hysterectomy was performed. The adnexal anatomy, instrumentation, techniques, and technical factors were analyzed. Four phases of vaginal salpingo-oophorectomy were noted: 1) preparation of the operative field, 2) preparation of the adnexal areas, 3) extirpation of the adnexa, and 4) ligation of the ovarian pedicle. Extirpation of the adnexa was performed using two primary techniques: the mesosalpinx-mesovarium and round ligament. However, several variations of these techniques (i.e., single- and double-pedicle, two-stage, preservation of the uteroovarian pedicle) were necessary for the removal of the adnexa in all patients. Preparation of the operative field and the adnexa and variations of the customary techniques used for vaginal salpingo-oophorectomy are necessary for the performance of a successful vaginal salpingo-oophorectomy.
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M3 - Article
AN - SCOPUS:84969294207
SN - 1077-2847
VL - 5
SP - 348
EP - 354
JO - Journal of Pelvic Surgery
JF - Journal of Pelvic Surgery
IS - 6
ER -