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Re: Sudden HysterectomyFrom: Robert Brenner (robbrenner@earthlink.net)Tue Dec 31 17:28:00 1996
A Isolation >of the cervix is easiest if you feel from above with an examining hand. You >can feel the cervix and clamp below it without leaving a portion or taking >an excessive amount of vagina with the specimen. Another technique is to >have another person visualize the cervix from below and place a clamp on the >cervix so that it can be palpated more easily from above. > Here's a technique that I have found very helpful in removing the cervix without shortening the vagina. Incise the cervix longitudinally until the cervical canal is entered. Grasp each edge of the incision with an Ochsner clamp and pull up. When you do this, the pubocervicovesical fascia starts to fall away from the cervix and can easily be advaced with the handle of the scalpel. Then continue incising the cervix distally and continue to advance the ochsner clamps until the vagina is entered. Then resect the cervix from the vagina.
-- Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net
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