{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T17:59:21Z","timestamp":1757699961836},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2009,8,28]],"date-time":"2009-08-28T00:00:00Z","timestamp":1251417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To perform vaginal hysterectomy and adnexectomy without laparoscopic assistance in women with ovarian endometriosis by accessing the posterior cul\u2010de\u2010sac via the posterior uterocervical\u2013broad ligament space.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The author identified the posterior uterocervical\u2013broad ligament space as a surgical window while reviewing his experience at accessing the pouch of Douglas in 40 women in whom vaginal hysterectomy without laparoscopic assistance was performed for ovarian endometriosis. He then used this window in 102 women to remove the adnexa vaginally during vaginal hysterectomy, also without laparoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This new technique was successful in 98 women, with no major complications, but 4 of the first 50 required laparotomy to complete the surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This new approach allows experienced surgeons to treat women with endometrial ovarian cysts by removing the adnexa vaginally during vaginal hysterectomy without laparoscopy, and complete the surgery abdominally or laparoscopically when necessary.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2009.07.020","type":"journal-article","created":{"date-parts":[[2009,8,29]],"date-time":"2009-08-29T09:25:40Z","timestamp":1251537940000},"page":"244-247","source":"Crossref","is-referenced-by-count":7,"title":["A surgical window to access the obliterated posterior cul\u2010de\u2010sac at vaginal hysterectomy"],"prefix":"10.1002","volume":"107","author":[{"given":"Shirish S.","family":"Sheth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,8,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-0528.2002.00100.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00378-5"},{"key":"e_1_2_6_4_2","first-page":"xi","volume-title":"Manual of New Hysterectomy Techniques","author":"Reich H.","year":"2007"},{"issue":"1","key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bpobgyn.2005.09.007","article-title":"Hysterectomy","volume":"20","author":"Clayton R.D.","year":"2006","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"2","key":"e_1_2_6_6_2","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"19","author":"Johnson N.","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7506.1478"},{"key":"e_1_2_6_8_2","first-page":"317","volume-title":"Progress in Obstetrics and Gynecology","author":"Sheth S.S.","year":"1993"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2005.01.011"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.1996.12.135"},{"key":"e_1_2_6_11_2","first-page":"29","volume-title":"Vaginal Hysterectomy","author":"Sheth S.S.","year":"2002"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729209003701?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729209003701?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2009.07.020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2009.07.020","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2009.07.020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T11:06:23Z","timestamp":1696331183000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2009.07.020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8,28]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1016\/j.ijgo.2009.07.020"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2009.07.020","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8,28]]}}}