PFD Week 2016-The Manchester Procedure for Cervical Prolapse

Video Transcription

Video Summary

The video discusses the Manchester Procedure, a uterine sparing technique for uterine descensus with associated Cystocele. It was originally described by Archibald Donald and later modified by Edward Fothergill. The procedure is ideal for patients with comorbidities that may preclude a more invasive procedure, offering decreased operative time, blood loss, and shorter recovery period. The video explains the steps of the procedure, including identifying anatomic landmarks, amputating the cervix, and fixing the utero-sacral and cardinal ligaments to the lower uterine segment. A retrospective review of six patients who underwent the Manchester procedure for isolated cervical hypertrophy showed positive anatomic outcomes and patient satisfaction. The video concludes by mentioning that the Manchester procedure is a safe alternative to hysterectomy for patients wanting to preserve the uterus. No credits are granted in this video summary.

Asset Subtitle

PA Castillo, MD

Keywords

Manchester Procedure

uterine sparing technique

Cystocele

comorbidities

anatomic outcomes