Uccella et al reported a classification for large uteri. The type of large uterus correlates with surgical outcomes. The authors are from multiple institutions in Italy and the Cleveland Clinic.
(2) distortion of other uterine arteries by asymmetry of the uterine corpus
Adnexal Arterial Blood Supply
Uterine Arteries
Type
cephalad aspect remain at or below normal level
not distorted
Type 1
cephalad aspect displaced above normal level
not distorted
Type 2
cephalad aspect displaced above normal
course distorted by asymmetrical uterine pathology
Type 3
where:
• The level of the fallopian tube is essentially unchanged in type 1, but it has a more cephalad position in types 2 and 3.
Type 1 large uterus was associated with better outcomes (shorter operative time, less blood loss, fewer complications, shorter length of stay) than type 2 or Type 3.
To read more or access our algorithms and calculators, please log in or register.
