Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States

Dicker, Richard C.; Greenspan, Joel R.; Strauss, Lilo T.; Cowart, Martha R.; Scally, Mark J.; Peterson, Herbert B.; DeStefano, Frank; Rubin, George; Ory, Howard W.

doi:10.1016/0002-9378(82)90362-3

Cited by 729 publications

(352 citation statements)

References 7 publications

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“…For several decades, the abdominal approach been the most common route of hysterectomy despite the well documented benefits of the vaginal hysterectomy in terms of lower complication rates, shorter length of stay and convalescence and more favorable quality of life outcomes including reduced mortality [3][4][5][6]. The VALUE [7] study suggests that the surgeons still used the abdominal approach as the operation of choice, particularly in pelvic pathology or carrying out oophorectomy.…”

Section: Discussionmentioning

confidence: 99%

Hysterectomy…..Which Route?

Chakraborty

Goswami

Mukherjee

et al. 2011

J Obstet Gynecol India

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Objective We designed this study to focus on women with mobile uteri benign no larger than 14 weeks, who would ordinarily be considered candidates for vaginal hysterectomy and compare the outcomes when abdominal routes were chosen. We also compared the intra and post operative complications, requirement for blood transfusion, length of hospital stay, between abdominal and vaginal route of hysterectomy. Method In a simple randomized prospective comparative study 200 consecutive patients requiring hysterectomy for benign uterine conditions were analysed over a period of 2 years. (June 2006-May 2008. Group A (n = 100) underwent vaginal hysterectomy (non descent vaginal hysterectomy, NDVH) which was compared with group B (n = 100) who had abdominal hysterectomy. Results As far as duration of operation, duration of i.v. drip, mobilization in post operative ward, duration of hospital stay, P value was significant. Regarding blood loss P value was insignificant. Conclusion The accessibility of the vaginal passage, disease confined to the uterus and the surgeons experience are the major determining factors for the choice of the route of hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Hysterectomy…..Which Route?

Chakraborty

Goswami

Mukherjee

et al. 2011

J Obstet Gynecol India

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“…Until now, just a few reports were published linking BRCA1 and 2 mutations with uterine serous papillary carcinomas (Hornreich et al, 1999;Lavie et al, 2000). Furthermore, hysterectomy has additional risks and complications (Dicker et al, 1982). Given the anatomy, a hysterectomy cannot prevent the development of PPSC.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of prophylactic oophorectomy in BRCA1/BRCA2 mutation carriers and events during follow-up

et al. 2004

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A retrospective study was performed to assess the histopathologic findings in high-risk women undergoing bilateral prophylactic (salpingo)-oophorectomy. The medical files of BRCA1 or BRCA2 mutation carriers and members of a hereditary breast/ovarian cancer (HBOC) family, who had undergone prophylactic surgery, were reviewed. In all, 38 women underwent a bilateral oophorectomy (26 BRCA1, three BRCA2 and nine HBOC, respectively). A total of 90 women underwent bilateral salpingooophorectomy (58 BRCA1, six BRCA2, one BRCA1 and 2, 25 HBOC, respectively). At the time of salpingo-oophorectomy, five of 58 BRCA1 carriers (8.6%) were diagnosed with an occult carcinoma: two fallopian tube carcinomas, two ovarian carcinomas and one case was defined as a fallopian tube/ovarian carcinoma. No occult carcinomas were found in the other groups. Of the 38 patients, who underwent a bilateral oophorectomy (mean follow-up 45 months), three of 26 BRCA1 mutation carriers (3.4 in 100 womenyears) developed peritoneal papillary serous carcinoma (PPSC) during follow-up. So far, no PPSC have occurred in the 90 women, who underwent a salpingo-oophorectomy (mean follow-up 12 months), including 58 BRCA1 carriers (0 in 60 in women-years). These results contribute to the thesis that BRCA1 germline mutation carriers are not only at risk for ovarian cancer, but also for fallopian tube carcinoma and peritoneal papillary serous carcinoma. Our data suggest that PPSC risk among BRCA2 carriers is lower than among BRCA1 carriers.

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“…Women (in the UK at least) are almost certainly not being offered the full range of available treatment and are being 'short changed' (67 % abdominal hysterectomy). CREST study [9] conducted by CDC advocates that women who underwent vaginal hysterectomy experienced significantly fewer complications than women who had undergone abdominal hysterectomy with less febrile morbidity, bleeding requiring transfusion, hospitalisation and convalescence than abdominal hysterectomy. Vaginal hysterectomy with prophylactic antibiotics should be strongly considered for those women of reproductive age for whom either surgical approach is clinically appropriate.…”

Section: Introductionmentioning

confidence: 99%

Non-decent Vaginal Hysterectomy in Rural Setup of MP: A Poor Acceptance

Jain

Chandrakar

2016

J Obstet Gynecol India

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Objective NDVH is a minimally invasive, safe, effective, and economical surgery. Still AH is preferred for benign gynaecological indications. Our study aims to promote NDVH in all technically possible cases by adequate counselling of the patient. Methods This prospective observational study enrolled 100 women seeking hysterectomy for benign gynaecological conditions (excluding prolapse) in a teaching hospital.Women were counselled on the basis of 'PREPARED' questionnaire to assess their awareness about NDVH and were offered NDVH as the proposed surgery and result is analysed. Results We observed that there was a little awareness about NDVH and its outcome among the subjects. Ten out of 100 patients refused to perform NDVH after counselling and underwent TAH. Rest of the 90 patients opted for NDVH. Forty out of 90 patients were aware about NDVH, but they were sceptical about the outcome, and 50 were totally unaware. After applying 'PREPARED' questionnaire and counselling, we could motivate them to accept NDVH. It was successful in all cases except one where laparotomy was done for ovarian artery retraction. With no significant post-operative complications, early return to routine activity and low cost of surgery, all patients were satisfied with surgical outcome and improved quality of life. 123 the procedure. Most of the abdominal hysterectomy can be converted successfully to NDVH in technically feasible cases by experienced hands so adequate training to gynaecology residents is the need of the time. NDVH is economical to the patient as well as for the healthcare system.

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Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States

Cited by 729 publications

References 7 publications

Hysterectomy…..Which Route?

Hysterectomy…..Which Route?

Clinical outcome of prophylactic oophorectomy in BRCA1/BRCA2 mutation carriers and events during follow-up

Non-decent Vaginal Hysterectomy in Rural Setup of MP: A Poor Acceptance

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