A Case Report of Intrafacial Vaginal Hysterectomy Performed in Patient of Adenomyosis with Cystocele and Rectocele.

Lee, Suk Hee; Chung, Min Hyung; Huh, Chu Yeop

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(3):573-576.
Published online March 1, 2004.

A Case Report of Intrafacial Vaginal Hysterectomy Performed in Patient of Adenomyosis with Cystocele and Rectocele.

Suk Hee Lee, Min Hyung Chung, Chu Yeop Huh

Department of Obstetrics and Gynecology, College of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

The modified supracervical hysterectomy with intrafascial cylindriform enucleation of cervix via endoscopy or vaginal approach enables to do an minimal invasive and organ preserving surgery. The pelvic floor support is maintained and sexual sensation is preserved, and there may be nearly little concern of cancer on cervix. The physical stress to the patient is minimized. But, Intrafascial Vaginal Hysterectomy is rarely performed in case of large uterus size. We performed Intrafascial Vaginal Hysterectomy in patient of adenomyosis with cystocele and rectocele and then report that with review of journal and text book.

Key Words: IVH (intrafascial vaginal hysterectomy), Rectocele, Cystocele