Uterine problems discovered after presumed hysterectomy: the manchester operation revisited

Hopkins, Michael P.; Devine, John B.; DeLancey, John O.L.

doi:10.1016/s0029-7844(97)81427-5

Cited by 10 publications

(7 citation statements)

References 5 publications

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“…After assessment of these reports including reference lists of eligible studies, four studies and two case reports were found with data on 573 women [18][19][20][34][35][36]. All studies were retrospective.…”

Section: Study Selectionmentioning

confidence: 99%

“…In one woman, after four dilatations of the cervix, an abdominal hysterectomy was performed. Hopkins et al reported on three patients with uterine disease (two with cancer) after a Manchester procedure in women who thought that their uterus had been removed in prior prolapse surgery, which made the differential diagnosis difficult [35]. Therefore, after cervical amputation, a risk of stenosis is present, which could influence the occurrence of alarming symptoms (vaginal blood loss) in the development of adenocarcinoma of the uterus.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

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Several vaginal procedures are available for treating uterine descent. Vaginal hysterectomy is usually the surgeon's first choice. In this literature review, complications, anatomical and symptomatic outcomes, and quality of life after vaginal hysterectomy, sacrospinous hysteropexy, the Manchester procedure, and posterior intravaginal slingplasty are described. All procedures had low complication rates, except posterior intravaginal slingplasty, with a tape erosion rate of 0-21%. Minimal anatomical success rates regarding apical support ranged from 85% and 93% in favor of the Manchester procedure. Data on symptomatic cure and quality of life are scarce. In studies comparing vaginal hysterectomy with sacrospinous hysteropexy or the Manchester procedure, vaginal hysterectomy had higher morbidity. Because no randomized, controlled trials have been performed comparing these surgical techniques, we can not conclude that one of the procedures prevails. However, one can conclude from the literature that vaginal hysterectomy is not the logical first choice.

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Section: Study Selectionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

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“…12, 13 We did not observe any patients with these problems after 5 years follow-ups, however, we gave to patients a detailed explanation of the procedures that had been performed and pelvic ultrasonography was carried out annually in the postmenopausal group in order to measure the endometrial thickness.…”

Section: Discussionmentioning

confidence: 98%

Which One is the Appropriate Approach for Uterine Prolapse: Manchester Procedure or Vaginal Hysterectomy?

Ünlübilgin¹,

Sivaslıoğlu²,

İlhan³

et al. 2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To compare the 5-year results of the efficacy of vaginal hysterectomy against Manchester procedure for uterine prolapse. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study was carried on women with the complaints of uterine prolapse. The patients were randomized into 2 groups using a computer program, and underwent either Manchester procedure (Group 1) or vaginal hysterectomy (Group 2). Both groups were compared in terms of durations of the operations, the length of hospital stay, quality of life (QoL) scores and the recurrences (C point and total vaginal length) at 5 years after operations. R Re es su ul lt ts s: : Manchester procedure was performed on 49 patients. Vaginal hysterectomy was performed on 45 patients. The mean duration of operation and the length of hospitalization for group 1 and group 2 were 62.4±10.5 minutes and 2.58±0,56 days, and 77.8±13.6 minutes and 2.88±0.63 days, respectively. There were statistically significant differences between groups in terms of the durations of operations (p=0.003) and the length of stay in hospital after the interventions (p=0.042). The postoperative mean of the C point level in group 1 and group 2 were -6.3±0.91 cm and -6±0.97 cm, respectively. There was no statistically significant difference between the groups (p=0.132). The postoperative mean of total vaginal length in groups 1 and 2 were 8,3±0.95 cm and 6.02±0.98 cm, respectively. There was a statistically significant difference between the groups (p=0.016). Postoperative QoL scores improved significantly after both procedures. C Co on nc cl lu us si io on n: : The Manchester procedure is an efficient alternative of vaginal hysterectomy for the treatment of uterine prolapse K Ke ey y W Wo or rd ds s: : Uterine prolapse; hysterectomy, vaginal Ö ÖZ ZE ET T A Am ma aç ç: : Uterin prolapsusun cerrahi tedavisinde vajinal histerektomi ile Manchester operasyonunun etkinliğini karşılaştırmak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Uterin prolapsus şikayeti ile başvuran olgular çalışmaya dahil edildi. Çalışma grubu bilgisayar programına göre randomize edilerek 2 gruba ayrıldı. Manchester prosedürü uygulanan olgular Grup 1'i, vajinal histerektomi uygulanan olgular ise Grup 2'yi oluşturdu. Her iki grup, operasyon süreleri, hospitalizasyon süreleri, yaşam kalite skorları ve operasyondan 5 yıl sonraki rekürrensleri (C noktası ve total vajinal uzunluk) açısından karşılaştırıldı. B Bu ul lg gu ul la ar r: : Manchester prosedürü 49 hastaya uygulandı. Vajinal histerektomi 45 hastaya uygulandı. Grup 1'in ortalama operasyon süresi 62,4±10,5 dakika, hospitalizasyon süresi 2,58±0,56 gün iken, grup 2'de ortalama operasyon süresi 77,8±13,6 dakika, hospitalizasyon süresi 2,88±0,63 gün olarak bulundu. İki grup arasında operasyon (p=0,003) ve hospitalizasyon sü-releri (p=0,042) açısından istatistiksel olarak anlamlı fark tespit edildi. Grup 1 ve grup 2'nin postoperatif ortalama C noktaları -6,3±0,91 cm ve -6,0±0,97 cm olarak ölçüldü. Ancak iki g...

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“…Tipton and Atkin [9] examined 82 premenopausal women 6 to 12 years after they underwent the Manchester operation and found that uterine carcinoma had developed in 2. Hopkins and colleagues [10] also reported on 2 patients in whom adenocarcinoma of the endometrium developed in the retained uterus after they underwent the Manchester operation. These 2 patients were lost to follow‐up, and the authors suspected that hysterectomies had been performed.…”

Section: Discussionmentioning

confidence: 99%

The Manchester operation for uterine prolapse

Ayhan

Esin

Güven

et al. 2006

Intl J Gynecology & Obste

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Uterine problems discovered after presumed hysterectomy: the manchester operation revisited

Abstract: Patients who have undergone a Manchester operation may develop disease in the retained uterine corpus, which should be considered in the differential diagnosis of a pelvic mass.

Cited by 10 publications

References 5 publications

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Which One is the Appropriate Approach for Uterine Prolapse: Manchester Procedure or Vaginal Hysterectomy?

The Manchester operation for uterine prolapse

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