Preserved in manchester operation: September 2009
Ans. D: Menstruation Surgeon combines an anterior colporrhaphy with the amputation of the cervix, sutures the cut ends of the Mackenrodt's ligament in front of the cervix, covers the raw area on the amputated cervix with vaginal mucosa and follows it up with a colpoperineorrhaphy. It preserves menstrual and childbearing functions. However feility is reduced. Cervical amputation leads to incompetent cervical os and habitual aboions/ preterm deliveries.
Full length of cervix
Competency of os
Feility
Menstruation