Enlarged Uterus

  • Mitchel S. Hoffman
  • William N. Spellacy


In general, the capable surgeon selects the vaginal route for hysterectomy based on a number of anatomic factors, including a relatively normal size uterus. When feasible, the operation, successfully completed through the vagina, affords the patient a quick and easy recovery. With little if any additional morbidity, certain uteri that are moderately enlarged can also be readily removed transvaginally while retaining the advantages of the vaginal approach. This chapter describes selection factors and operative techniques for the transvaginal removal of enlarged uteri. A versatile surgeon, who can adapt his or her technique to each individual case, becomes an even more important element to the successful transvaginal removal of enlarged uteri. The more difficult cases require an experienced surgeon using good surgical judgment.


Obstet Gynecol Vaginal Hysterectomy Broad Ligament Lower Uterine Segment Endometrial Cavity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Mitchel S. Hoffman
    • 1
  • William N. Spellacy
    • 1
  1. 1.Department of Obstetrics-GynecologyUniversity of South Florida, College of MedicineTampaUSA

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