Skip to main content
Log in

Döderlein–Krönig vaginal hysterectomy: an alternative to the traditional Heaney hysterectomy

  • IUJ Video
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Aim

The aim of this study was to demonstrate the surgical steps of performing the Döderlein–Krönig hysterectomy.

Method

A video recording was made of the hysterectomy using an alternative technique described by Drs. Döderlein and Krönig in 1906. The patient in the video had stage 3 prolapse and desired surgical correction. The video demonstrates an exam under anesthesia, an anterior colpotomy, delivery of the uterine fundus through the colpotomy, and completion of the hysterectomy. The surgery was performed by a urogynecologist and a resident physician. The patient tolerated the procedure well and had no symptom recurrence at her 1-year follow-up visit. This video was presented at the 2014 International Urogynecological Association Annual Meeting in Washington, DC, as a nondiscussed video poster.

Conclusions

This video can assist and educate others in using this technique for performing a hysterectomy. Possible benefits of this approach include decreased blood loss and improved visualization, especially in women with pelvic organ prolapse.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Jacoby VL, Autry A, Jacobson G, Domush R, Nakagawa S, Jacoby A (2009) Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches. Obstet Gynecol 114(5):1041–8

    Article  PubMed  Google Scholar 

  2. Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG (2007) Hysterectomy rates in the United States, 2003. Obstet Gynecol 110(5):1091–5

    Article  PubMed  Google Scholar 

  3. ACOG Committee Opinion No. 444 (2009) Choosing the route of hysterectomy for benign disease. Obstet Gynecol 114(5):1156–8

    Article  Google Scholar 

  4. Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 8(3):CD003677

    Google Scholar 

  5. Döderlein A, Krönig S (1906) Die technik der vaginalen Bauchhöhlenoperationen. Verlag Von S Hirzel, Leipzig

    Google Scholar 

  6. Graves WF (1916) Gynecology. W B Saunders Co, Philadelphia

    Google Scholar 

  7. Kovac SR, Zimmerman CW (2012) Advances in Reconstructive Vaginal Surgery. Lippincott Williams & Wilkins; 179

  8. Russell SC, Hibbert ML, Davis G (2001) Döderlein hysterectomy an alternative approach to the traditional vaginal hysterectomy. J Pelvic Surg 7(5):266–271

    Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel E. Stone.

Additional information

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(MP4 99158 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stone, D.E., Malik, S.A., Doerhman, P. et al. Döderlein–Krönig vaginal hysterectomy: an alternative to the traditional Heaney hysterectomy. Int Urogynecol J 26, 769–771 (2015). https://doi.org/10.1007/s00192-014-2598-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-014-2598-0

Keywords

Navigation