Fragmented (multi-step) removal of the cervix in total hysterectomy: A technique in obese females with deep pelvis and long cervix

Excerpt

Hysterectomy is the most common major gynecological operation in the world. A high body mass index (BMI) is a risk factor for diseases leading to hysterectomy such as fibroids and abnormal uterine bleeding [1]. High BMI is associated with bleeding, infections, long operating time, and iatrogenic injuries during surgery [2]. A fibroid uterus is more mobile than small atrophic uterus. In addition, the presence of fibroids permits easier traction to the uterine fundus during surgery. This facilitates the procedure of hysterectomy despite of obesity [1‐4]. However, we proposed a new technique for easier management of hysterectomy in large size uterus with limited exposure in obese patients through Pfannenstiel incision. …