Philadelphia collar is a two-piece collar. One part is for the back part of the neck while the other is for the front part and has a Velcro on left and right sides for easier removal and attachment. The total cervical arch support helps in maintaining cervical alignment. It is specially contoured for excellent stabilization and comfort. It is has a chin rest to make it comfortable for the wearer and to provide more immobilization. It is made from a stiffer material and has a hole in the middle for tracheostomy purposes. This is usually utilized if there is a great risk for respiratory function loss. If not used for tracheostomy purposes, the hole provides good ventilation for patient’s comfort and helps in reducing heat and moisture build up.
In my experiance i have operated on most of the Big central cervicai,Anterior and posterior cervical we plan the Hysterectomy then complete evaluation of the size and extent of the fibroid should be the same time pressure effects to the genitourinary system should be risk should be explain to the stenting is a good idea but in my practice i havent done,as i do ureteric dissection if any in one patient of cervical fibroid in a22yrs nulligravida i have treated with uterine Embolisation of the artery with that the fibroid shrinked to40 percent. biggest cervical i have operated of 2kg.