The first hysterectomy was performed by Charles Clay in November 1843. It was performed due to a large myomatosus uterus. The operation was successful, however, the patient died on the fifteenth postoperative day. The first patient who survived a hysterectomy was in 1853 and it was performed by Walter Burnham. Out of his subsequent 15 patients, three patients did not survive. These early hyster...

BACKGROUND AND OBJECTIVES The purpose of this study was to assess the differences in patient pain postoperatively, comparing 2 types of outpatient hysterectomy procedures. METHODS This is a nonblind, nonrandomized, prospective study of surgeries performed at 1 ambulatory surgery center by 1 surgeon over 14 months. Patient pain was assessed using a visual analog scale before and after laparos...

Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In particular, in comparison to abdominal hysterectomy, the minimally invasive methods have undoubt...

OBJECTIVE To examine guideline-based use of prophylactic antibiotics in patients who underwent gynecologic surgery. METHODS We identified women who underwent gynecologic surgery between 2003 and 2010. Procedures were stratified as antibiotic-appropriate (abdominal, vaginal, or laparoscopically assisted vaginal hysterectomy) or antibiotic-inappropriate (oophorectomy, cystectomy, tubal ligation...

BACKGROUND Many hysterectomies are now performed by a laparoscopically assisted vaginal technique. This procedure is controversial, partly because of concern about cost. We studied hospital charges and costs for the procedure as compared with those for total abdominal hysterectomy and total vaginal hysterectomy in clinically similar groups of patients. METHODS From hospital-discharge data and...

BACKGROUND AND OBJECTIVE Despite the prevalence of hysterectomy for treatment of benign gynecologic conditions, providers nationwide have been slow to adopt minimally-invasive surgical techniques. Our objective is to investigate the impact of a department for minimally invasive gynecologic surgery (MIGS) on the rate of laparoscopic hysterectomy at an academic community hospital without robotic ...

BACKGROUND Dexmedetomidine is a highly selective α2 adrenergic agonist that has been shown to decrease the intensity of opioid-induced hyperalgesia (OIH). We aimed to investigate the antihyperalgesic effects of dexmedetomidine on high-dose remifentanil-induced hyperalgesia. METHODS Ninety American Society of Anesthesiologists physical status I-II patients undergoing laparoscopically assisted ...

OBJECTIVE To evaluate whether preoperative vaginal preparation routines influence postoperative infectious morbidity in vaginal hysterectomy and to analyze risk factors for postoperative infectious morbidity. DESIGN Retrospective, longitudinal cohort study. SETTING Forty -three hospitals in Sweden, participating in the Swedish National Register for Gynecological Surgery. POPULATION All 6,...

BACKGROUND Laparoscopically assisted vaginal hysterectomy is one of the most frequently performed gynecologic operations, and numerous authors have demonstrated its safety and feasibility. CASE PRESENTATION We practiced in some selected cases simultaneous laparoscopically assisted vaginal total hysterectomy with bilateral adnexectomy and laparoscopic cholecystectomy using 5 trocars without ut...