Review Article

Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

Table 3

Surgical options used in the treatment of NPUI.

Surgical detailNumber of cases

Approach to surgeryN = 133
Abdominal65 (48.8%)
Vaginal24 (18%)
Combined abdominal and vaginal36 (27.1%)
Laparoscopy8 (6%)

Succeeded method of repositioningN = 133
Unsuccessful/not attempted69 (51.9%)
Haultain procedure24 (18.0%)
Spinelli procedure1 (0.8%)
Huntington procedure1 (0.8%)
Kustner’s procedure8 (6%)
Bisecting the uterus2 (1.5%)
Repositioned after removing the mass without an additional procedure9 (6.8%)
Resection of the anterior cervical ring abdominally and repositioned5 (3.8%)
Others8 (5.8%)
No details6 (4.5%)

The final outcome of surgeryN = 133
Total abdominal hysterectomy/subtotal hysterectomy (with or without abdominal debulking)53 (39.8%)
Vaginal debulking of the tumour/abdominal hysterectomy22 (15.8%)
Vaginal hysterectomy (with or without debulking)26 (19.6%)
Radical hysterectomy and pelvic node dissection9 (6.8%)
Repair after repositioning (either abdominal or vaginal)20 (15.0%)
Vaginal amputation of fundus and cervix removed abdominally1 (0.5%)
Laparotomy/laparoscopic-assisted vaginal hysterectomy2 (1.5%)