During cervical CA surgery to prevent the complication asthe vault prolapse, should be treated with
A. Total HysterectomyB. Vaginal hysterectomy
C. Subtotal hysterectomy
D. Abdominal Hysteroctomy
E. Supportive treatment.
Ans.
(A) Total Hysterectomy ; (D) Abdominal Hysteroctomy
• Vault prolapse is a special term variously applied to the following several different conditions
— Enterocele
— Prolapse of the vaginal vault (or inversion of vagina) after hysterectomy.
— Collapse of the supports around the upper vagina and uterus which allows these organs to slide: Nulliparous prolapse is commonly of this type.
• Vault prolapse in more likely to occur after subtotal than after total hysterectomy despite the fact that the latter involves division of more elements of the transverse cervical ligaments. But it does leave more fibrosis and the scar tissue might have a supporting role. If cervix.is not removed it may act like the apex of an intussusception and encourage the vault to invert.
• Vaginal hysterectomy is alleged to be more commonly followed by vault prolapse than is abdominal.
• Vault prolapse is a special term variously applied to the following several different conditions
— Enterocele
— Prolapse of the vaginal vault (or inversion of vagina) after hysterectomy.
— Collapse of the supports around the upper vagina and uterus which allows these organs to slide: Nulliparous prolapse is commonly of this type.
• Vault prolapse in more likely to occur after subtotal than after total hysterectomy despite the fact that the latter involves division of more elements of the transverse cervical ligaments. But it does leave more fibrosis and the scar tissue might have a supporting role. If cervix.is not removed it may act like the apex of an intussusception and encourage the vault to invert.
• Vaginal hysterectomy is alleged to be more commonly followed by vault prolapse than is abdominal.
