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subtotal hysterectomy in dificult cervixFrom: amadeu zullino (azullino@clic-in.com.br)Sun Feb 21 06:21:51 1999
Sometimes is very dificult in a hysteretomy remove the cervix (severe endometriosis , pelvic adhesions , high risk of injury urinary bladder , urether , iliac vessels , etc ) . So i ask if it is whorthwhile performe subtotal hysterectomy (abdominal or laparoscopic) + cervix cone , removing scamous colunar junction and endocervix ? I work in BRAZIL and here cervix Ca is not rare . Perhaps withdraw a large part of cervix would be useful to prevent cervix Ca , mainly in poor people . In fact I have performed total hysterectomy but in dificult cervix it is always a hard nut to crack and patient could be damaged . I remain ,
-- Amadeu S. Zullino (MD) Amparo - SP - BRAZIL Feb 21 , 1999
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