Hysterectomy for Benign Conditions of the Uterus

Byrnes, J.N.; Occhino, John A.

doi:10.1016/j.ogc.2016.04.004

Cited by 16 publications

(13 citation statements)

References 35 publications

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“…Evidence suggests that when deemed feasible, the vaginal approach is the safest route of performing hysterectomy for benign disease and is considered the gold standard approach (2,3,4,5,6,7,8). When compared with abdominal hysterectomy, it is associated with fewer complications, including urinary tract injury and infection, as well as better economic outcomes and perioperative outcomes including operating room time (ORT), length of hospital stay, and recovery time (3,4,5,6,7,8). In addition, multiple studies have shown no benefit of laparoscopic-assisted vaginal hysterectomy when compared with vaginal hysterectomy (9).…”

Section: Introductionmentioning

confidence: 99%

Overcoming barriers to vaginal hysterectomy: An analysis of perioperative outcomes

Sirota¹,

Tomita²,

Dabney³

et al. 2019

J Turkish German Gynecol Assoc

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Objective: To determine perioperative outcome differences in patients undergoing vaginal hysterectomy based on uterine weight, vaginal delivery, and menopausal state. Material and Methods: Retrospective chart review of 452 patients who underwent vaginal hysterectomy performed by a single surgeon. Patients’ age, vaginal delivery, uterine weight, previous pelvic surgery, previous cesarean delivery, removal of ovaries were compared, as well as estimated blood loss (EBL), operating room time (ORT), length of stay, intraoperative complications and postoperative complications. Multivariable logistic regression was used, and all data were analyzed at the level of p<0.05 statistical significance using SAS system software (SAS Institute Inc., Cary, NC), version 9.3. Results: The mean age was 57.13±11.52 years and the median vaginal delivery was 2. The uterine weight range was 16.6-1174.5 g (mean 169.79±183.94 g). The incidences of blood transfusion and bladder injury were 3.03% and 0.66%, respectively. Factors shown to be associated with longer ORT included greater uterine weight, removal of ovaries, posterior repair, tension-free vaginal tape sling, prolapse, and EBL >500 mL (p<0.001). The factors associated with EBL >500 mL were greater uterine weight (p=0.001), uterine myomas (p=0.016) and premenopausal state (p=0.014). The factors associated with conversion to laparotomy were greater uterine weight (p<0.001) and premenopausal state (p<0.001). Conclusion: Vaginal hysterectomy is a safe and feasible approach for patients desiring hysterectomy regardless of uterine weight and vaginal delivery.

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Section: Introductionmentioning

confidence: 99%

Overcoming barriers to vaginal hysterectomy: An analysis of perioperative outcomes

Sirota¹,

Tomita²,

Dabney³

et al. 2019

J Turkish German Gynecol Assoc

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“…It is generally performed to treat several different indications and therefore utilizes a variety of techniques and approaches. Among them, abdominal hysterectomy (TAH) continues to be the most common approach, but vaginal hysterectomy (VH) has been associated with fewer complications, shorter hospital stay, more rapid recovery, and lower overall costs [1][2][3]. However, there are some limitations for VH, which include concurrent pelvic disease, large uterus, and the absence of uterine prolapse [4].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for surgical site infection after hysterectomy

Çelik

Engin

Turan

et al. 2017

J Infect Dev Ctries

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Introduction: The aim of the study was to define the clinical and laboratory characteristics of patients who had surgical site infection (SSI) after hysterectomy. Methodology: This study was a retrospective cohort study. The patient data of 840 subjects who had undergone any type of hysterectomy and reported SSI after surgery were obtained from the archives of a tertiary referral center. The different types of hysterectomy procedures performed on these patients included total abdominal hysterectomy (TAH), laparoscopic hysterectomy (LH), and vaginal hysterectomy (VH). In addition, age, body mass index (BMI), preoperative and postoperative blood parameters, gravidity, and parity were also documented. Results: TAH, LH, and VH were performed on 63.2% (n = 531), 21.6% (n = 181), and 15.2% (n = 128) of patients, respectively. Overall, SSIs were observed in 3.7% (n = 31) of all hysterectomy patients. Among them, 4.5% of TAH patients, 1.7% of LH patients, and 3.1% of VH patients had SSIs after the hysterectomy operation. Analysis of the data revealed that the patients with SSIs had significantly higher BMIs, lower preoperative hemoglobin, lower postoperative hemoglobin and hematocrit, and higher postoperative platelet counts compared to patients who did not have any SSIs. Conclusions: High BMI, blood loss during surgery, low hematocrit levels, and resulting anemia increased the incidence of SSI after hysterectomy. Among the different types of hysterectomy, LH was found to be relatively better than TAH and VH in preventing the occurrence of SSI.

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“…La ruta de la histerectomía benigna ha ido cambiando. La primera histerectomía vaginal planeada fue realizada por Langenbeck en 1813, pero la primera serie de casos de histerectomía vaginal fue publicada por Senn en 1895 y su tasa de mortalidad era del 75% [7][8][9] .…”

Section: Introductionunclassified

Diez pasos para una histerectomía total por laparoscopia segura y reproducible

Villegas-Echeverri¹,

López-Isanoa²,

Piedrahíta-Gutiérrez³

et al. 2021

CIRU

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Objetivo: Contribuir a la formación de los especialistas describiendo de manera sistemática y pormenorizada los diez pasos para realizar una histerectomía total por laparoscopia (HTL) segura y reproducible. Método: La descripción detallada de los pasos de la HTL pretende que este procedimiento pueda ser reproducido de manera segura y efectiva. Resultados: Al conocer claramente los pasos de la HTL es posible favorecer las rutas de mínima invasión para que las pacientes se beneficien de sus múltiples beneficios demostrados. Conclusiones: Los beneficios de las rutas mínimamente invasivas para la realización de una histerectomía ya han sido demostrados en la literatura. En muy importante que los especialistas estén familiarizados con estas técnicas y que los grupos estandaricen el procedimiento para que más pacientes puedan ser intervenidas de manera segura y se beneficien de la vía laparoscópica.

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Hysterectomy for Benign Conditions of the Uterus

Cited by 16 publications

References 35 publications

Overcoming barriers to vaginal hysterectomy: An analysis of perioperative outcomes

Overcoming barriers to vaginal hysterectomy: An analysis of perioperative outcomes

Risk factors for surgical site infection after hysterectomy

Diez pasos para una histerectomía total por laparoscopia segura y reproducible

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