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Professional Technical IVT

Fothergill operation

Pronunciation: FOTH-er-gill

Surgical procedure for uterine prolapse involving amputation of the cervix with cardinal ligament repair.

Full Definition

The Fothergill operation, also known as Manchester repair, is a surgical technique for treating uterine prolapse that involves partial amputation of the cervix combined with anterior colporrhaphy and cardinal ligament plication. The procedure was developed to address prolapse while preserving the uterus, making it particularly suitable for women who wish to maintain fertility or prefer uterine conservation. The operation includes shortening the elongated cervix, strengthening the cardinal ligament supports, and repairing any associated cystocele. While less commonly performed today due to the availability of mesh procedures and other techniques, it remains a valuable option in selected cases.

Usage

Usage note: Named after W.E. Fothergill; capitalize as eponym. Also known as Manchester repair.

In Context

  • "The Fothergill operation was chosen to address the prolapse while preserving the patient's fertility." — surgical planning consultation
  • "Long-term outcomes following Fothergill operation show good anatomical correction in most patients." — research study methodology

Also known as

Manchester repair Manchester operation

Don't confuse with

anterior colporrhaphy sacrospinous fixation

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