Intramyometrial coring as an adjunct to vaginal hysterectomy.

A retrospective review of 902 hysterectomies, 727 (80.6%) performed vaginally and 175 (19.4%) abdominally, is presented. The technique of intramyometrial coring was used in 76% of the vaginal hysterectomy group. Surgical indications, length of surgery, length of hospital stay, and complications are analyzed. The evidence presented suggests that intramyometrial coring may be used for the vaginal removal of many uteri for which abdominal hysterectomy has been traditionally the procedure of choice. The clinical findings confirm that vaginal hysterectomies with intramyometrial coring are associated with lower morbidity and a significant decrease in length of hospitalization.