Alternatives to Hysterectomy GJ.qxp
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چکیده
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 warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. Alternatives to Hysterectomy in the Management of Leiomyomas
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Endometrial ablation as an alternative to hysterectomy.
Each year in the United States, more than 700,000 women undergo hysterectomy. Nearly half of these procedures are done for abnormal menstrual bleeding. There have been few alternatives available. Since 1988, endometrial ablation has become an alternative to hysterectomy for women who: choose not to, or cannot have, an hysterectomy; cannot, or do not wish, to use long-term hormonal therapy; or t...
متن کاملAlternatives to Total Abdominal Hysterectomy
Laparoscopic-assisted vaginal hysterectomy refers to the use of a laparoscope to allow the performance of hysterectomy through a vaginal means that would have otherwise required an abdominal approach. Laparoscopic supracervical hysterectomy refers to removal of the uterus utilizing a laparoscope but leaving the cervix in place. Laparoscopic myomectomy refers to removal of fibroid tumors from th...
متن کاملMenorrhagia and the Levonorgestrel Intrauterine System
Only half of the women who present to clinicians with heavy menstrual loss have objective menorrhagia. However, it is the main reason for women requesting hysterectomy and 1 in 5 women have a hysterectomy in the United Kingdom for this reason by the age of fifty five. At histopathology, a vast majority of these uteri are found to be benign. With less invasive and effective alternatives to hyste...
متن کاملA systematic review comparing hysterectomy with less-invasive treatments for abnormal uterine bleeding.
STUDY OBJECTIVE To compare hysterectomy with less-invasive alternatives for abnormal uterine bleeding (AUB) in 7 clinically important domains. DESIGN Systematic review. SETTING Randomized clinical trials comparing bleeding, quality of life, pain, sexual health, satisfaction, need for subsequent surgery, and adverse events between hysterectomy and less-invasive treatment options. PATIENTS ...
متن کاملHysterectomy—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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