Hysterectomy for benign gynaecological disease
نویسندگان
چکیده
nt matter & 2006 gyn.2006.04.004 thor. Tel.: +44 20 . [email protected]. Summary Hysterectomy, the commonest major gynaecological operation, is the only definitive cure for dysfunctional uterine bleeding, rates highest in satisfaction scores compared with other treatments, and improves quality of life. Although research indicates that vaginal hysterectomy is safer and cheaper than total abdominal hysterectomy, the latter still accounts for 60–80% of all hysterectomies in the UK and the USA, and at least 95% of these are total rather than subtotal. Although recent research also shows that subtotal hysterectomy confers no advantages over the total procedure, with respect to pelvic organ function, subtotal hysterectomy is the quicker and safer operation, and the risk of cervical stump carcinoma in a woman who has previously had normal smears is negligible. Overall mortality rates from hysterectomy are 0.5–2 per 1000, and rates of visceral damage are 0.5–2%. Complications are most common in women treated for uterine fibroids, and overall rates decrease with increasing age of women. Cost-effective analysis shows hysterectomy to be an effective and cost-effective intervention across a variety of indications. Conservative alternatives to hysterectomy, including endometrial ablative techniques, the Mirena intrauterine system (IUS), and uterine artery embolization for fibroids, have not yet greatly reduced hysterectomy rates, which vary widely between regions, and within the same geographical area. A major challenge is to establish the reasons for this variation in rates. & 2006 Elsevier Ltd. All rights reserved.
منابع مشابه
Hysterectomy for benign gynaecological conditions at a Tertiary Hospital, South-south, Nigeria
Objectives: To determine the indications, type and outcome of hysterectomy performed for benign gynaecological conditions over a 5-year period. Materials and Methods: A retrospective study of 152 women who had hysterectomy for benign conditions at the gynaecology unit of the University of Port Harcourt Teaching Hospital, (UPTH) Nigeria, between January 1, 2011 and December 31, 2015 was conducte...
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OBJECTIVE To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. METHODS This was a prospective study of outcomes of consecutive patients who underwent total vaginal hysterectomy (VH) or abdominal hysterectomy (AH) for benign gynaecological diseases. Patient characteristics before, during, and after the operations were reviewed. Pati...
متن کاملThe decline of hysterectomy for benign disease.
Hysterectomy is one of the most common gynaecological surgical procedures performed but there appears to be a decline in the performance of this procedure in Ireland in recent times. We set out to establish the extent of the decline of hysterectomy and to explore possible explanations. Data for hysterectomy for benign disease from Ireland was obtained from the Hospital In-Patient Enquiry Scheme...
متن کاملTotal Laparoscopic Hysterectomy versus Total Abdominal Hysterectomy in the Treatment of Benign Gynaecological Disease: A Retrospective Review Over 5 Years
Hysterectomy remains one of the most common gynaecological procedures performed in the UK. However unlike other parts of Europe and America, where laparoscopic hysterectomy (LH) rates have significantly increased, in the UK abdominal hysterectomy (AH) rates remain high and often the first choice for many surgeons. The minimal access route offers significant patient benefits over open surgery an...
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متن کامل
Hysterectomy through minilaparotomy for benign gynaecological conditions: a valid option.
OBJECTIVE Efforts are continuously being made for surgery to be less invasive with a minimal access approach. This article reports our experience with minilaparotomy hysterectomy in patients with benign gynecological disease or preinvasive pathology. MATERIAL AND METHODS A prospective study to analyse the outcome and per-operative and post-operative complications was conducted in 69 patients ...
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تاریخ انتشار 2006