Department of Obstetrics and Gynaecology, Urogynecology and Pelvic Floor Unit, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
E. Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel.
J Obstet Gynaecol. 2022 Jul;42(5):1419-1423. doi: 10.1080/01443615.2021.1983785. Epub 2022 Jan 5.
We conducted a study to assess the efficacy and outcome results of Manchester operation for women with symptomatic elongation of uterine cervix between 2010 and 2020. Forty-five women were enrolled. Mean age was 54.2 ± 10.5 years, 57.5% were premenopausal. Mean follow up was 4.53 years. Most patients were pleased from the surgery: 29 (76.3%) very pleased and three (7.9%) quite pleased. There were four cases of late postoperative complications: hematometra, pyometra, vesicovaginal fistula and small bowel evisceration through the posterior vaginal fornix. All four cases required surgical interventions with complete recovery. Manchester operation is an effective procedure for symptomatic elongation of uterine cervix. The surgery is short, minimal blood loss and without significant intraoperative complications. However, it is not free of late postoperative complications and it is therefore important that the surgery will be carried out with a strict technique and by skilled surgeons who are capable to manage unique postoperative complications.Impact Statement Elongation of the uterine cervix is a condition that has not been sufficiently studied. Up-to-date data regarding the efficacy and safety of the Manchester operation for patients with cervical elongation and normal pelvic support are scarce, as most previously published studies included mainly patients with uterine prolapse. The present study presents the efficacy, complications and clinical outcomes of Manchester operation for women with elongation of the uterine cervix. Our results show that Manchester operation is safe, effective method for symptomatic uterine cervix elongation. This suggests Manchester operation is an effective procedure for symptomatic uterine cervix elongation should be implemented more widely. It must be carried out with a strict technique by skilled surgeons capable to manage unique postoperative complications.
我们进行了一项研究，评估了 2010 年至 2020 年间曼彻斯特手术治疗有症状的子宫颈延长的疗效和结局结果。共有 45 名女性入组。平均年龄为 54.2±10.5 岁，57.5%为绝经前。平均随访时间为 4.53 年。大多数患者对手术非常满意：29 例（76.3%）非常满意，3 例（7.9%）满意。有 4 例术后晚期并发症：宫腔积血、积脓、膀胱阴道瘘和小肠通过后阴道穹窿脱出。所有 4 例均需手术干预，且完全恢复。曼彻斯特手术是治疗有症状的子宫颈延长的有效方法。该手术操作简单，出血量少，术中无明显并发症。然而，它并非没有术后晚期并发症，因此重要的是，手术将由具有严格技术和能够处理独特术后并发症的熟练外科医生进行。
子宫颈延长是一种尚未得到充分研究的疾病。目前关于曼彻斯特手术治疗子宫颈延长且骨盆支持正常的患者的疗效和安全性的数据很少，因为大多数以前发表的研究主要包括子宫脱垂患者。本研究介绍了曼彻斯特手术治疗子宫颈延长患者的疗效、并发症和临床结局。我们的结果表明，曼彻斯特手术是治疗有症状的子宫颈延长的安全、有效的方法。这表明，对于有症状的子宫颈延长，曼彻斯特手术是一种有效的方法，应该更广泛地实施。必须由能够处理独特术后并发症的熟练外科医生严格执行该技术。
