[The so-called "stump carcinoma" and the place of supravaginal hysterectomy in the current operative gynecology]

The clinical course of 5 cases of stump carcinoma is examined both before and after the administration of a supravaginal hysterectomy. The question of the use of supravaginal hysterectomy in gynecological and oncological practice is discussed. Based on the course of postoperative complications of these 5 patients and substantiated by other literature it is concluded that total hysterectomy is more effective than partial in terms of prophylactic possibilities against pathological changes in the preserved cervix particularly against the occurrence of carcinoma. This judgment is made after an examination of current postoperative treatment techniques the use of strong antibiotics and modern oncological methods which are not considered to be sufficient to ensure the success of partial hysterectomy. Wider use of total hysterectomy is recommended.(Authors modified)