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Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Manchester Operation For uterine prolapse, involving high amputation of the cervix and repair of the anterior and posterior vaginal walls. Devised by Archibald Donald (1860–1937) of Manchester, andhis assistant William Edward Fothergill (1865–1926) of Southampton, in 1890.
Uterine Prolapse
Published in Linda Cardozo, Staskin David, Textbook of Female Urology and Urogynecology - Two-Volume Set, 2017
Miriam Seitz, Roger P. Goldberg
A recent retrospective observAtionAl study evAluAted 204 younger women (meAn Age 34.68 ± 4.24 yeArs) with grAde 2–3 uterine prolApse; 95.1% hAd AssociAted cystoceles And 51.3% hAd AssociAted rectoceles. PostoperAtively, 27 pAtients (13.2%) hAd febrile morbidity, Urinary retention occurred in 45 pAtients (22.0%), And cervicAl stenosis occurred in 23 pAtients (11.3%). Within the first yeAr, one pAtient underwent AbdominAl hysterectomy becAuse of unsuccessful cervicAl dilAtAtion, And At A meAn of 3.6 yeArs following the operAtion, eight pAtients hAd undergone A vAginAl hysterectomy for recurrent uterine prolApse. The Authors noted A meAn sAtisfAction/AcceptAnce score for the operAtion of 8.52 ± 2.13 (rAnge, 2–10). The MAnchester operAtion is no longer used widely but mAy still represent A considerAtion for select cAses of prolApse in women wishing to retAin their uterus. Lefort Colpocleisis Colpocleisis represents An excellent AlternAtive for A select group of older, nonsexuAlly Active women with severe
The Manchester operation – is it time for it to return to our surgical armamentarium in the twenty-first century?
Published in Journal of Obstetrics and Gynaecology, 2022
Ronen S. Gold, Hadar Amir, Yoav Baruch, David Gordon, Mordechai Shimonov, Asnat Groutz
There were four cases of late postoperative complications that required surgical intervention: vesicovaginal fistula, hematometra, pyometra and transvaginal small bowel evisceration. All four patients underwent uneventful Manchester operation. Three of the four patients underwent concomitant anterior and posterior colporrhaphy, two of whom also underwent TVT-O. The first patient (age 67 years, BMI 29.5) had vesicovaginal fistula that was diagnosed two months postoperatively. The second patient (age 45 years, BMI 22.6) underwent drainage of hematometra three months postoperatively with complete recovery thereafter. The third patient (age 67 years, BMI 24.2) presented with abdominal pain and fever 6 months after surgery. The presumed diagnosis following physical examination, pelvic sonography and lab tests was pyometra. The patient underwent total abdominal hysterectomy after a failed hysteroscopic attempt to drain the pyometra. The forth patient (age 57 years, BMI 19) presented 9 days after surgery with small bowel evisceration through the posterior vaginal fornix. Her past medical history has been unremarkable, with the exception of underweight and a trans urethral removal of bladder tumour (TURBT) for early stage bladder cancer 5 years earlier. The patient underwent emergency laparotomy in which the intestine was inspected and the posterior vaginal fornix was sutured. Her postoperative follow up was unremarkable.