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Table 1 Reasons, indications and surgical approaches used for inadvertent hysterectomy in patients who underwent surgery because of a cervical cancer finding

From: Occult invasive cervical cancer after simple hysterectomy: a multi-center retrospective study of 89 cases

Parameters No. %
Reasons
 No preoperative Pap smear 14 15.7
  Negative fractional curettage 4 4.5
  Emergent operation 3 3.4
  Absence of preoperative cytology and histology of the cervix 7 7.9
 Negative Pap smear 11 12.4
  False negative 8 9.0
  Incompletely evaluated 3 3.4
 Colposcopy-directed biopsy 14 15.7
  Cervicitis 6 6.7
  CIN1-2 8 9.0
 Conization procedure 42 47.2
  Pre-insive or microinvasive cervical cancer 37 41.6
  Failure to perform an indicted conization 5 5.6
 Data not available 8 9.0
Indications
 Pre- or microinvasive cervical cancer 42 47.2
  Pre-insive 26 29.2
  Microinvasive 16 18.0
 Benign disease 47 52.8
  Leiomyoma 16 18.0
  Adnexal mass 12 13.5
  Adenomyosis 11 12.4
  Abnormal uterine bleeding 6 6.7
  Prolapse 5 5.6
Surgical approach
 Laparotomy 43 48.3
 Laparoscopy 31 34.8
 Transvagina 15 16.9