E-Posters-10055

10055_Park
Pdf Summary
The aim of this study was to compare the clinical outcomes of cervical amputation and vaginal hysterectomy for the treatment of pelvic organ prolapse (POP). The results showed that cervical amputation is equivalent to vaginal hysterectomy in terms of clinical outcome. Within 6 months after surgery, there was no difference in recurrence rate between the two procedures, and this remained the same after 1 year. The cervical amputation group had a shorter hospital stay compared to the vaginal hysterectomy group, but there was no difference in operation time and blood loss during the procedure. <br /><br />The complication rate was 13.0% in the cervical amputation group and 6.7% in the vaginal hysterectomy group, but there was no significant difference between the two groups. The most common complication in the cervical amputation group was postoperative bleeding, while postoperative infection was the most common in the vaginal hysterectomy group. <br /><br />The study reviewed medical records of patients who underwent cervical amputation or vaginal hysterectomy at Yonsei University Hospital from January 2006 to December 2015. The primary outcome measured was the recurrence of POP after surgery, and the outcomes were evaluated using the POP-Quantification system. Secondary outcomes included hospital stay, operation duration, blood loss, and complications. <br /><br />The study included a total of 397 patients, with 23 undergoing cervical amputation and 374 undergoing vaginal hysterectomy. The cervical amputation group had lower parity and a lower BMI compared to the vaginal hysterectomy group. The vaginal hysterectomy group was older and had a higher rate of postmenopausal status. <br /><br />Overall, the study suggests that cervical amputation is a good option for patients with cervical elongation who want to preserve their uterus, as it provides similar clinical outcomes compared to vaginal hysterectomy and is an easier procedure.
Keywords
clinical outcomes
cervical amputation
vaginal hysterectomy
pelvic organ prolapse
recurrence rate
hospital stay
operation time
blood loss
complication rate
uterus preservation