ABSTRACT
I have presented opposing views from the literature and my results in both the first and second trimester of pregnancy. I feel that those who already favor vaginal hysterectomy for sterilization alone would have their opinions reinforced by the additional benefit of pregnancy termination. I hope that those who oppose using vaginal hysterectomy for sterilization alone might be convinced that the added benefit of elective termination of pregnancy makes it acceptable, since a double benefit will be offered. Many gynecologists already teach this method as regards early pregnancy. Perhaps some will be convinced to terminate more advanced pregnancies in this manner.
Subject(s)
Abortion, Legal/methods , Hysterectomy, Vaginal , Hysterectomy , Sterilization, Reproductive/methods , Female , Humans , Hysterectomy/adverse effects , Hysterectomy, Vaginal/adverse effects , Pregnancy , Pregnancy Trimester, First , Pregnancy Trimester, SecondABSTRACT
This report is a preliminary one because the number of cases is small (30+) and follow-up is not adequate, either as to detail or time. However, the initial results and observations are so favorable that unless untoward complications arise, we predict that this procedure will supplant the other usual methods of midtrimester abortion. We have looked for but have not found any infections, hemorrhage, perforations, failure of the uterus to empty within a reasonable length of time or prolonged postoperative bleeding. The method herein proposed offers greater safety by creating fewer risks to the patient; her exposure to hazards is therefore diminished. Future pregnancies are safer because the birth canal has not been attenuated by rupture, near rupture, perforation or surgical scarring. It is our hope that others will try this technic to prove or disprove its efficacy.
