The aim of this study was to demonstrate the surgical steps of performing the Döderlein–Krönig hysterectomy.
A video recording was made of the hysterectomy using an alternative technique described by Drs. Döderlein and Krönig in 1906. The patient in the video had stage 3 prolapse and desired surgical correction. The video demonstrates an exam under anesthesia, an anterior colpotomy, delivery of the uterine fundus through the colpotomy, and completion of the hysterectomy. The surgery was performed by a urogynecologist and a resident physician. The patient tolerated the procedure well and had no symptom recurrence at her 1-year follow-up visit. This video was presented at the 2014 International Urogynecological Association Annual Meeting in Washington, DC, as a nondiscussed video poster.
This video can assist and educate others in using this technique for performing a hysterectomy. Possible benefits of this approach include decreased blood loss and improved visualization, especially in women with pelvic organ prolapse.
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Conflicts of interest
Written informed consent was obtained from the patient for publication of this video article and any accompanying images.
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Stone, D.E., Malik, S.A., Doerhman, P. et al. Döderlein–Krönig vaginal hysterectomy: an alternative to the traditional Heaney hysterectomy. Int Urogynecol J 26, 769–771 (2015). https://doi.org/10.1007/s00192-014-2598-0
- Vaginal hysterectomy
- Total vaginal