Prior Pelvic Surgery

  • Mitchel S. Hoffman
  • William N. Spellacy


A history of pelvic surgery has been a source of concern when considering a patient for vaginal hysterectomy. Postsurgical scarring and adhesions may produce relative fixation of the uterus or adherence of the urinary or intestinal tract with resultant predisposition to injury. The nature and relative risk of problems associated with some of the commonly encountered prior pelvic operations are discussed. Some methods of transvaginally managing a variety of potentially complicated postsurgical changes are described. When good uterine mobility and other anatomic factors favorable for vaginal hysterectomy are present, significant difficulties related to the prior pelvic surgery are unlikely. A cautious approach is of course warranted.


Methylene Blue Obstet Gynecol Vaginal Hysterectomy Pelvic Surgery Sharp Dissection 
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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