Posterior hemidissection for nonpuerperal uterine inversion

Abstract

A novel surgical technique using posterior hemidissection was introduced to treat a case of uterine inversion that was caused by a submucous fibroid and could not be managed by standard procedures. A 46-year-old woman gravida 6 para 4 2 living children presented with a mass that had been protruding from her vagina for three days. She was diagnosed as having nonpuerperal uterine inversion and underwent emergency abdominoperineal surgery. The uterus uterine ligaments fallopian tubes and ovaries could not be seen on exploration and there was a 2-cm hole in the Douglas pouch. The mass on the inverted fundus was resected but the uterus could not be reinserted into the pelvis by pulling the round ligaments (Huntington procedure). (excerpt)