Review Article
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%) |
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