Clinical analysis of 30 cases with removal of the retained cervical stump

Objective To investigate the indications of subtotal hysterectomy and the prevention of the complications form the removal of cervical stump.Methods 30 patients who underwent the removal of the cervical stump subsequent to subtotal hysterectomy were included in the study.Results 25 patients had cervix reserved due to their young age.5 patients had cervix reserved because of difficulty in operation.Of 30 cases who had their cervical stump removed or retained,5 cases were due to cervical intraepithelial neoplasia;1 case due to cervical cancer;5 cases due to cervical myoma;2 cases due to cervical endometriosis,and 17 case due to pelvic disease.Conclusions Total hysterectomy is preferable in patients who are over 45 years of age and diagnosed as having multiple myoma or endometriosis.Malignant cervical and endometrial diseases should be excluded before and during total hysterectomy.During the removal of cervical stump,attention should be focused on separation of pelvic adhesions,dissociation of ureters and the bladder and prevention of injury.