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The role of partial colpectomy in the management of persistent vaginal neoplasia after primary treatment
Author(s) -
CURTIS PAUL,
SHEPHERD JOHN H.,
LOWE DAVID G.,
JOBLING TOM
Publication year - 1992
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1992.tb13826.x
Subject(s) - medicine , hysterectomy , cervical intraepithelial neoplasia , disease , primary treatment , obstetrics , gynecology , surgery , cervical cancer , cancer
Objective To describe and assess the technique of partial colpectomy for the treatment of persistent vaginal neoplasia. Setting Gynaecological oncology unit of a London teaching hospital. Subjects 12 women with persistent vaginal intraepithelial neoplasia (VAIN) following hysterectomy for cervical intraepithelial neoplasia (CIN) or for benign disease. Technique Partial colpectomy using a vaginal approach assisted by a Schuhardt incision to improve access. Results Assessment of patients between 9 and 99 (mean 55) months after partial colpectomy for VAIN showed no recurrence of disease in ten patients (83%). Conclusion This technique of partial colpectomy is an effective procedure, associated with minimal morbidity which should be considered as primary treatment for patients suffering from persistent vaginal disease after hysterectomy or other procedures.