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  • Title: Uterosacral-cardinal ligament stretching prior to vaginal hysterectomy increases uterine descent: a novel technique.
    Author: Krissi H, Eitan R, Goldchmit C, Peled Y.
    Journal: Eur J Obstet Gynecol Reprod Biol; 2012 Jan; 160(1):71-3. PubMed ID: 22169812.
    Abstract:
    OBJECTIVE: To examine the effect of uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy on uterine descent. STUDY DESIGN: A prospective trial of 25 consecutive women undergoing vaginal hysterectomy. Pre-operative, apical, anterior and posterior wall POP-Q measurements were recorded for each patient before and after uterosacral-cardinal ligament complex stretching during general anesthesia. RESULTS: Uterosacral-cardinal ligament complex stretching yielded a significant increase in mean stage of uterine and anterior wall descent (2.6 ± 0.6 vs. 3.2 ± 0.6 cm, p<0.001, and 2.5 ± 0.8 vs. 2.9 ± 0.8 cm, respectively, p<0.004). There was no significant change in posterior wall prolapse measurements (1.3 ± 0.7 vs. 1.4 ± 0.8 cm, p=0.05). CONCLUSION: Uterosacral-cardinal ligament complex stretching prior to vaginal hysterectomy increase uterine descent.
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