{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T08:22:32Z","timestamp":1771230152306,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T00:00:00Z","timestamp":1623024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Hysterectomy is the most commonly performed benign gynaecological surgery. Recently, the rates of minimally invasive hysterectomy have fallen due to the banning of mechanical morcellation techniques that rendered minimal invasive gynaecology surgeons unable to extract large uteri from the relatively small colpotomy incisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aims to share our experience in utilising Colpo\u2010V incision to remove large uterine specimens transvaginally and report its success and complication rates to promote a minimal invasive approach in patients with large uteri without the need to perform large abdominal incisions or transabdominal morcellation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective case series study in which women with large uteri and|or narrow vaginal canal underwent total laparoscopic hysterectomy and a subsequent posterior vaginal wall incision (Colpo\u2010V) to facilitate the intact extraction of the uterus through the vagina. Patients were seen in the clinic six weeks after the surgery for post\u2010operative assessment and documentation of late complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen women underwent the procedure, and the intact extraction of the specimen was successful in 16 out of the 17 cases (94%). No major complications were encountered during or after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Colpo\u2010V incision is a simple and effective technique for the intact extraction of larger uterine specimens at hysterectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13395","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T14:12:33Z","timestamp":1623075153000},"page":"773-776","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Removing the large uterus without morcellation \u2013 The Colpo\u2010V incision for specimen extraction at hysterectomy"],"prefix":"10.1111","volume":"61","author":[{"given":"David M. B.","family":"Rosen","sequence":"first","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4682-5182","authenticated-orcid":false,"given":"Dean H.","family":"Conrad","sequence":"additional","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tal D.","family":"Saar","sequence":"additional","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg M.","family":"Cario","sequence":"additional","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danny","family":"Chou","sequence":"additional","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8367-3096","authenticated-orcid":false,"given":"Mujahid","family":"Bukhari","sequence":"additional","affiliation":[{"name":"Sydney Women\u2019s Endosurgery Centre St George Private Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,7]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"79","volume-title":"Operative Gynecologic Laparoscopy: Principles and Techniques","author":"Nezhat CR","year":"1995"},{"key":"e_1_2_5_3_1","unstructured":"https:\/\/www.nytimes.com\/2017\/05\/24\/us\/amy\u2010reed\u2010died\u2010cancer\u2010patient\u2010who\u2010fought\u2010morcellation\u2010procedure.html"},{"key":"e_1_2_5_4_1","unstructured":"Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication. April 2014 (updated Dec 2017) http:\/\/www.fda.gov\/media\/109018\/download"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2015.0104"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.03.005"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.0141"},{"key":"e_1_2_5_8_1","first-page":"4","article-title":"Morcellation during uterine tissue extraction: an update","volume":"25","author":"The Tissue Extraction Task Force Members","year":"2018","journal-title":"J Minim Invasive Gynecol"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13395","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13395","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T07:10:58Z","timestamp":1693293058000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,7]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/ajo.13395"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13395","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,7]]},"assertion":[{"value":"2021-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}