Clinical analysis of 40 cases with cervical stump resection

Objective To study the indication of subtotal hysterectomy and the importance of pathological examination. Method Forty cases with cervical stump resection were analyzed retrospectively. Results The average age of the patients undergoing subtotal hysterectomy was 38.5±5.6 years. Of them, 77.5% were with benign genital tract diseases (especially myoma ) who received for the reasons of being young (cervix needed), adhesion, or difficulty in operation etc.; 22.5% were with malignant diseases who underwent the speration because of misdiagnosis or adhesion. Results Of cervix stump was difficult, time consuming and with frequent occurrence of complications(12.5%). Conclusion Total hysterectomy is recommended for those who are more than 40 years old and, diagnosed as multiple myoma or endometriosis. Malignant cervical and endometrial diseases should be excluded before subtotal hysterectomy. Pathological examinations are contributed to accurate diagnosis and optimal selection of operation.