Appropriate indications and alternatives to hysterectomy for benign conditions

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Hysterectomy—Current Methods and Alternatives for Benign Indications

Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal hysterectomy, laparoscopic a...

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Laparoscopic Supracervical Hysterectomy for Benign Gynecologic Conditions

Recent results from metaanalyses and observational studies have suggested that total abdominal hysterectomy (TAH) is superior to laparoscopic supracervical hysterectomy (LSH) for the treatment of benign gynecologic conditions. However, because LSH is associated with fewer intraoperative complications, shorter operative time, and preserves patient anatomy and sexual function in comparison with T...

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Results of extension of classic indications of vaginal hysterectomy for benign uterine conditions.

OBJECTIVE to compare the results of two surgical approaches: one is to apply vaginal hysterectomy (VH) for non-prolapsed uterus respecting classic indications and contraindications and the other is to extend the indications of VH and decrease the contraindications by performing VH for large uterus, in nulliparous and in women with history of C section. STUDY DESIGN 816 women with benign uteri...

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Common postoperative pulmonary complications after hysterectomy for benign indications.

OBJECTIVE The purpose of this study was to estimate the incidence of postoperative pulmonary complications after hysterectomy for benign indications. STUDY DESIGN This was a retrospective cohort study of all women who underwent hysterectomy for benign indications at the Cleveland Clinic from Jan. 1, 2001, to Dec. 31, 2009. Exclusion criteria incorporated patients who underwent hysterectomy fo...

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This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins—Gynecology with the assistance of Elizabeth A. Stewart, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warran...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2015

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2015.04.028