CC BY-NC-ND 4.0 · Surg J (N Y) 2019; 05(S 01): S27-S32
DOI: 10.1055/s-0039-1683919
Precision Surgery in Obstetrics and Gynecology
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Retrograde Abdominal Hysterectomy

Yuji Hiramatsu
1   Okayama City General Medical Center, Okayama, Japan
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20. März 2019 (online)


The basic procedure of abdominal hysterectomy is extrafascial hysterectomy, and intrafascial hysterectomy (Aldridge operation) and retrograde hysterectomy are performed as applied surgical procedures. The Aldridge operation and retrograde hysterectomy are performed when strong adhesion is present around the uterus. Retrograde hysterectomy is also useful when the cervicovaginal junction is not clearly felt by palpation, such as when uterine rupture immediately occurs after vaginal delivery or when a large tumor mass is present in the vagina.

  • References

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  • 2 Hiramatsu Y, Sekiba K. Retrograde abdominal hysterectomy. In Practical Methods for Hysterectomy. Tokyo: Nankodo; 1997: 61-77
  • 3 Hiramatsu Y, Kudo T. Application of retrograde abdominal hysterectomy and ligation of internal iliac artery in advanced uterine tumor surgery. Obstet Gynecol Surgery(Japanese) 2003; 14: 145-151
  • 4 Hiramatsu Y. Application of retrograde abdominal hysterectomy in debulking surgery of epithelial ovarian cancer. Obstet Gynecol (Japanese) 2009; 76: 409-415
  • 5 Hiramatsu Y. Basic procedure 1. In Hiramatsu Y, Konishi I, Sakuragi N, Takeda S. , eds. Mastering the Essential Surgical Procedures OGS Now, No.2 Application of Retrograde Abdominal Hysterectomy. Tokyo: Medical View; 2010: 162-169