Dührssen-Schuchardt colpoperineotomy for vaginal hysterectomy in an extremely overweight patient.

Abstract

Objective: Dührssen-Schuchardt incision is an extended vaginoperineal, deep lateral incision of the vagina, paracolpium, levator ani, and perineum represented by the expansion of the operating field during vaginal hysterectomy.

Materials and methods: In 21 extremely overweight patients with premalignant (11) and malignant endometrial disease FIGO IA (10) and policomorbidities, total vaginal hysterectomy with a unilateral Dührssen-Schuchardt incision was performed. It was impossible to perform a laparotomic or laparoscopic procedure in any of the patients due to the mentioned comorbidities and polycomorbidities.

Results: There were no postoperative complications related to the surgical procedure and the surgical wound; all wounds healed per primam, and no late postoperative complications related to the surgical technique were recorded.

Conclusion: Therefore, this approach to total vaginal hysterectomy with the help of a Dührssen-Schuchardt incision is certainly a "minimally invasive procedure."