Evaluation of the distance from the anterior cervicovaginal junction to the anterior peritoneal reflection for anterior colpotomy during vaginal hysterectomy in Korean women

This study aimed to know the distance of the cervicovaginal junction (CVJ) to the anterior peritoneal reflection (APR) as measured in surgical specimens, and assess the distance between the CVJ and APR to ensure safe anterior colpotomy for vaginal hysterectomy among Korean women.Patients who underwe...

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Bibliographic Details
Published in:Medicine (Baltimore) 2021-08, Vol.100 (33), p.e26941-e26941
Main Authors: Lee, Ji Hye, Chae, Su Hyun, Lee, A. Jin, Min, Yoon Jung, So, Kyeong A., Lee, Sun Joo, Kim, Tae Jin, Shim, Seung-Hyuk
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cervix Uteri - anatomy & histology
Cervix Uteri - surgery
Colpotomy - methods
Colpotomy - statistics & numerical data
Female
Humans
Hysterectomy, Vaginal - methods
Hysterectomy, Vaginal - statistics & numerical data
Middle Aged
Observational Study
Pelvic Organ Prolapse - pathology
Pelvic Organ Prolapse - surgery
Peritoneum - anatomy & histology
Peritoneum - surgery
Republic of Korea
Vagina - anatomy & histology
Vagina - surgery
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Summary:This study aimed to know the distance of the cervicovaginal junction (CVJ) to the anterior peritoneal reflection (APR) as measured in surgical specimens, and assess the distance between the CVJ and APR to ensure safe anterior colpotomy for vaginal hysterectomy among Korean women.Patients who underwent vaginal hysterectomy were included in the analysis. According to the presence of pelvic organ prolapse or menopausal status, the distance from the CVJ to the APR was assessed preoperatively through transvaginal ultrasonography (TV-US), as well as intraoperatively using surgical specimens. The intraclass correlation coefficient was used to determine the reliability between 2 measurements.In total, 171 patients were included. The median distance from the CVJ to the APR measured on TV-US was 19.8 (3.3-41.3) mm. Meanwhile, the median distance from the CVJ to the APR measured using the surgical specimen was 26.0 (12.0-55.0) mm. The intraclass correlation coefficient for the absolute agreement between 2 measurements was 0.353 (95% confidence interval: 0.002-0.570; P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000026941