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Gynaecology & Obstetrics General 64e78282

Indication of Manchester operation in prolapse:

A
Nulliparous
B
Women of < 35 years age
C
Patient who wants child bearing function
D
Congenital elongation of cervix
High-Yield Explanation
This means option b and c both are correct. But though this operation was initially advocated for young women desirous of child bearing, now the view has changed - "Cervical amputation may adversely affect subsequent conception (infertility, cervical stenosis) and/or pregnancy outcome (repeated IInd  trimester abortion, preterm labor, cervical dystocia). For these reasons, this repair is not considered as an operation of the choice in India" (for child bearing function).  - Principles and Practice of Obs & Gynae for PG's Pankaj Desai 3rd/ed p 559 In congenital elongation of cervix management is amputation of cervix which is just a part of Fothergill's repair, it does not require all components of this operation therefore, should not be considered amongst the correct options.

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