Ob/Gyn Medical News about uterine prolapse

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The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication
International Urogynecology Journal, 09/02/09

Boer TAD et al. – Between 2002 and 2007, 156 patients were included. Ninety–eight patients returned for a 1–year follow–up. In the modified Manchester group, the authors found no middle compartment recurrence versus two (4%) in the vaginal hysterectomy group. Anterior and posterior compartment prolapse recurrences were similar. Considering operating time and blood loss, modified Manchester was more favourable. There was no difference in the pre– and postoperative subjective scores. The overall functional outcome was acceptable.

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