Ovarian Conservation Versus Removal at the Time of Hysterectomy for Benign Gynecological Diseases

Ovarian conservation versus removal at the time of hysterectomy for benign gynecological diseases

Hysterectomy for benign gynecological diseases is a common surgical procedure. Prophylactic bilateral oophorectomy is often recommended concurrent with hysterectomy to decrease the risk of ovarian cancer. Oophorectomy before menopause leads to an abrupt decrease in endogenous estrogen and androgen production leading to different health problems. So women undergoing hysterectomy for benign gynec...

Ovarian conservation at the time of hysterectomy for benign disease.

Approximately 78% of women between the ages of 45 and 64 years have prophylactic oophorectomy when hysterectomy is performed for benign disease to prevent the development of ovarian cancer. However, after menopause, the ovary continues to produce androstenedione and testosterone in significant amounts and these androgens are converted in fat, muscle, and skin into estrone. Evidence suggests tha...

Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions

Total versus subtotal hysterectomy for benign uterine diseases?

Removal of all ovarian tissue versus conserving ovarian tissue at time of hysterectomy in premenopausal patients with benign disease: study using routine data and data linkage

OBJECTIVE  To conduct a nationwide study of associations between removal of all ovarian tissue versus conservation of at least one ovary at the time of hysterectomy and important health outcomes (ischaemic heart disease, cancer, and all cause mortality). STUDY DESIGN AND SETTING  Retrospective analysis of the English Hospital Episode Statistics database linked to national registers of depriva...