A randomized comparison of post‐operative pain, quality of life, and physical performance during the first 6 weeks after abdominal or vaginal surgical correction of descensus uteri

Roovers, JP; Bom, Johanna G. van der; Vaart, C. H. van der; Leeuwen, Jules H. Schagen van; Scholten, Piet C.; Heintz, A. Peter M.

doi:10.1002/nau.20104

Cited by 45 publications

(22 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…First, we searched for randomized trials. One randomized trial was found comparing vaginal hysterectomy with an abdominal procedure and one randomized trial was found comparing vaginal hysterectomy with sacrospinous hysteropexy [6,7]. After that, prospective cohort studies, prospective, case-controlled studies, retrospective studies, and case reports were assessed.…”

Section: Sources and Search Methodsmentioning

confidence: 99%

“…Therefore, 15 studies were excluded. Twenty-three studies were available in which outcome data for 1,764 women who underwent a vaginal hysterectomy for prolapse symptoms were analyzed separately, with a follow-up of between 9 and 60 months [4,5,6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Study Selectionmentioning

confidence: 99%

“…In a review of the literature, it was concluded that a vaginal hysterectomy is unlikely to cause bladder and bowel dysfunction [60]. The occurrence of de novo stress incontinence after a vaginal hysterectomy for uterine descent was reported in between 0% and 22% of women [6,14,17,23,24].…”

Section: Anatomical Curementioning

confidence: 99%

See 2 more Smart Citations

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

View full text Add to dashboard Cite

Several vaginal procedures are available for treating uterine descent. Vaginal hysterectomy is usually the surgeon's first choice. In this literature review, complications, anatomical and symptomatic outcomes, and quality of life after vaginal hysterectomy, sacrospinous hysteropexy, the Manchester procedure, and posterior intravaginal slingplasty are described. All procedures had low complication rates, except posterior intravaginal slingplasty, with a tape erosion rate of 0-21%. Minimal anatomical success rates regarding apical support ranged from 85% and 93% in favor of the Manchester procedure. Data on symptomatic cure and quality of life are scarce. In studies comparing vaginal hysterectomy with sacrospinous hysteropexy or the Manchester procedure, vaginal hysterectomy had higher morbidity. Because no randomized, controlled trials have been performed comparing these surgical techniques, we can not conclude that one of the procedures prevails. However, one can conclude from the literature that vaginal hysterectomy is not the logical first choice.

show abstract

Section: Sources and Search Methodsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

See 1 more Smart Citation

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

View full text Add to dashboard Cite

show abstract

“…Previous studies have excluded young nulliparous females, and patients with atrophic vaginitis, vaginal infection, vaginal prolapse syndrome, or severe pelvic adhesions [13]. In two studies that compared abdominal and vaginal route surgery, no postoperative differences in vaginal sensation, ability to achieve orgasm, pregnancy rate, or rate of dyspareunia were observed [18,19]. In the present study, patient 2 had a history of hysterectomy.…”

Section: Discussionmentioning

confidence: 56%

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

et al. 2011

View full text Add to dashboard Cite

Background Although natural orifice extraction is now widely performed, there have been no reports of this procedure following subtotal gastrectomy for gastric cancer. This report describes trans-vaginal specimen extraction in four patients with early gastric cancer. Methods The clinical data of four patients with early gastric cancer were reviewed. Totally laparoscopic subtotal gastrectomy and D1 ? b lymph node dissection was performed using five trocars and a conventional procedure. Posterior colpotomy was performed by an experienced gynecologist, who retrieved the specimens in a retrieval bag via the trans-vaginal route. The colpotomy site was repaired immediately following specimen removal. Reconstruction was performed using the intracorporeal Billroth II method and an endo-GIA 60.Results Totally laparoscopic subtotal gastrectomy and trans-vaginal specimen extraction was successfully accomplished in all patients without intraoperative complications. Conclusions The present technique may be a safe and feasible operative procedure for some limited groups of elderly female patients with early gastric cancer.

show abstract

“…At this moment, the transanal approach can only be recommended for small benign tumours or early colorectal cancers [6] One of the reasons for choosing the transvaginal route is the advantage of the elasticity of the vagina, hence allowing specimen of various sizes to be able to retrieve. Literature has shown that transvaginal extraction is most ideal and patients undergoing this technique had good post-operative outcome with clinically no significant impact on orgasm, pregnancy, dyspareunia or sexual function [7]. One of the main concerns regarding retrieval of specimen is port site or retrieval incision metastasis which was reported to be 0.9 to 3.4% by Schaeff et al [8].…”

Section: Histopathological Resultsmentioning

confidence: 99%

Laparoscopic Surgery: An Almost Scarless Approach

Koh¹,

Chin²

2011

Advances in Endoscopic Surgery

View full text Add to dashboard Cite

Surgeons from various domains have become fascinated by endoscopy with its very low complications rates, high diagnostic yields and the possibility to perform a large variety of therapeutic procedures. Therefore during the last 30 years, the number and diversity of surgical endoscopic procedures has advanced with many new methods for both diagnoses and treatment, and these achievements are presented in this book. Contributing to the development of endoscopic surgery from all over the world, this is a modern, educational, and engrossing publication precisely presenting the most recent development in the field. New technologies are described in detail and all aspects of both standard and advanced endoscopic maneuvers applied in gastroenterology, urogynecology, otorhinolaryngology, pediatrics and neurology are presented. The intended audience for this book includes surgeons from various specialities, radiologists, internists, and subspecialists.

show abstract

A randomized comparison of post‐operative pain, quality of life, and physical performance during the first 6 weeks after abdominal or vaginal surgical correction of descensus uteri

Abstract: The vaginal operation to correct a descensus uteri is associated with less pain, better quality of life and better mobility during the first 6 weeks of the recovery period as compared to the abdominal approach.

Cited by 45 publications

References 20 publications

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

Laparoscopic Surgery: An Almost Scarless Approach

Contact Info

Product

Resources

About