Special Surgical Procedures II
LESSON 2: Procedures in Gynecological and Obstetrical Surgery
2-39
2-39. UTERINE SUSPENSION
a. General. The operation involves the shortening of ligaments by suturing to muscle structures through an abdominal incision. Uterine suspension is rarely done today, except as part of the conservative surgical treatment of some types of pelvic inflammatory disease or endometriosis when the uterus is bound down on the cul-de-sac.
b. Operative Procedure.
(1) The abdomen is opened, as for myomectomy as stated in paragraph 2-38.
(2) As part of salpingectomy, a modified Coffey suspension may be done to hold the uterus forward and suspend the ovaries so that they cannot prolapse into the cul-de-sac. The round ligaments are sewn toward the bladder. The wound is closed in layers as for laparotomy.
