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The Place of Hysterotomy in the Treatment of Hydatidiform Mole
Author(s) -
Tow W.
Publication year - 1967
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1967.tb02496.x
Subject(s) - hysterotomy , medicine , malignancy , uterus , obstetrics , pregnancy , cervix , gynecology , surgery , fetus , cancer , genetics , biology
Traditional teaching has credited ab‐dominal hysterotomy with certain advantages over vaginal evacuation in the conservative treatment of hydatidiform mole. The abdominal operation is claimed to be safer if the uterus has exceeded the size of a 16‐week pregnancy and especially if the cervix is not dilated. Haemorrhage is supposed to be more easily controlled, the risks of future malignancy reduced by curet‐age under direct vision and, finally, it is claimed that any malignancy can be seen and treated at hysterotomy. The foregoing arguments are supported by authori‐cies such as Eastman (1962), Jeffcoate (1962), and Moir (1964). They appear so convincing that their validity is seldom ques‐tioned.