Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

Table 3

Surgical options used in the treatment of NPUI.

Surgical detail	Number of cases
Approach to surgery	N = 133
Abdominal	65 (48.8%)
Vaginal	24 (18%)
Combined abdominal and vaginal	36 (27.1%)
Laparoscopy	8 (6%)
Succeeded method of repositioning	N = 133
Unsuccessful/not attempted	69 (51.9%)
Haultain procedure	24 (18.0%)
Spinelli procedure	1 (0.8%)
Huntington procedure	1 (0.8%)
Kustner’s procedure	8 (6%)
Bisecting the uterus	2 (1.5%)
Repositioned after removing the mass without an additional procedure	9 (6.8%)
Resection of the anterior cervical ring abdominally and repositioned	5 (3.8%)
Others	8 (5.8%)
No details	6 (4.5%)
The final outcome of surgery	N = 133
Total abdominal hysterectomy/subtotal hysterectomy (with or without abdominal debulking)	53 (39.8%)
Vaginal debulking of the tumour/abdominal hysterectomy	22 (15.8%)
Vaginal hysterectomy (with or without debulking)	26 (19.6%)
Radical hysterectomy and pelvic node dissection	9 (6.8%)
Repair after repositioning (either abdominal or vaginal)	20 (15.0%)
Vaginal amputation of fundus and cervix removed abdominally	1 (0.5%)
Laparotomy/laparoscopic-assisted vaginal hysterectomy	2 (1.5%)