CERVICAL STUMP CONDITION IN WOMEN AFTER SUBTOTAL HYSTERECTOMY

Authors
E.Kh. Khushvakhtova N.T. Khakimova
Job:
Tajik Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Tajikistan
DOI:
10.65197/3106-4035-2025-1-3-92-112

Annotation

Resume.Subtotal hysterectomy (SGE) remains one of the most commonly performed gynecological surgeries. However, its longterm impact on the remaining cervical stump (CC) remains understudied. Therefore, analyzing the anatomical and functional changes, as well as the incidence of underlying, precancerous, and malignant processes in the cervical stump in patients who have undergone this procedure, is critically important. Pathological changes in the cervix are a significant cause of gynecological disease. Delayed diagnosis of cervical stump changes after SGE can lead to the development of chronic inflammation, dysplasia, and, ultimately, carcinoma. Particular attention should be paid to the situation where a full examination of the cervix is impossible during emergency surgeries, leading to the persistence of a pathologically altered area. Existing literature indicates an increased risk of developing oncological processes in the cervical stump, especially in older women. Benign conditions that may require repeat surgery are also common. An additional challenge is the inconsistent postoperative followup of patients, which reduces the chances of early detection of pathologies. Cervical cicatricial deformities, impaired tissue nutrition (trophism), and microcirculation are particularly clinically significant, as they create ideal conditions for prolonged infection and the further development of underlying processes. This study aims to evaluate the condition of the cervical stump after SGE, determine the frequency and nature of developing pathologies, and assess how the choice of surgical approach and the extent of intervention impact patients’ quality of life. The results obtained will allow for the optimization of approaches to determining the extent of surgical intervention and the development of effective strategies for the followup of women in the late postoperative period.

Goal. .

Material and methods. .

Results. .

Conclusion. .

Keywords

Subtotal hysterectomy cervical stump adenomyosis gynecology.

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English

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CC BY 4.0

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LITERATURE REWIEW

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The authors declare no conflict of interest

INFORMATION ABOUT THE AUTHORS:

*Khushvakhtova Ergashoy Khushvakhtovna – Doctor of Medical Sciences, Associate Professor, Leading Researcher Tajik Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Tajikistan. E-mail: hushvaxtova@mail.ru https://orcid.org/0000-0002-3851- 2736 Akilova Dilfuza Muzafarovna – researcher Tajik Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Tajikistan. E-mail: khakimova-nilufar@bk.ru https://orcid.org/0009-0008-2365- 5743

*Correspondence address.