Randomised controlled trial of total compared with subtotal hysterectomy with one‐year follow up results

Gimbel, Helga; Zobbe, Vibeke; Andersen, Birthe Margrethe; Filtenborg, Thomas; Gluud, Christian; Tabor, Ann

doi:10.1111/j.1471-0528.2003.02395.x

Cited by 170 publications

(50 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eleven studies were identified (8–18). Details of study design, indications for hysterectomy, types of surgery and pain data are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Chronic pain after hysterectomy

Brandsborg

Nikolajsen

Kehlet

et al. 2008

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

“…Eleven studies were identified (8–18). Details of study design, indications for hysterectomy, types of surgery and pain data are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Chronic pain after hysterectomy

Brandsborg

Nikolajsen

Kehlet

et al. 2008

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

“…Women in the SA group recovered faster. In previous studies concerning abdominal hysterectomy and quality of life, the measurements were conducted a minimum of 4 weeks postoperatively and do not reflect the immediate postoperative period (1–3,26,27). Improvements in HRQoL were found in these studies, similar to our results, but we also found a remaining difference in the mental components of the HRQoL 6 months after the operation, favoring women in the SA group.…”

Section: Discussionmentioning

confidence: 99%

Health‐related quality of life and postoperative recovery in fast‐track hysterectomy

Wodlin¹,

Nilsson²,

Kjølhede³

2011

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

Objective: To determine whether health-related quality of life (HRQoL) and postoperative recovery of women who undergo abdominal hysterectomy in a fast track program under general anesthesia (GA) differ from women who receive spinal anesthesia with intrathecal morphine (SA).Design: Secondary analysis from an open randomized controlled multicentre study.Setting: Five hospitals in south east Sweden.Population: 180 women admitted for abdominal hysterectomy for benign disease were randomized; 162 completed the study, 80 to GA and 82 to SA.Methods: HRQoL was measured pre-operatively using the EuroQoL EQ-5D and the ShortForm-36 health survey (SF-36) questionnaires. EQ-5D was used daily for one week; thereafter once weekly for four weeks and again six months after operation. SF-36 was completed at five weeks and six months. Dates of commencing and ending sick leave were registered. Main outcome measures:Changes in HRQoL; duration of sick leave.Results: HRQoL improved significantly faster in women after SA than after GA. Sick leave was significantly shorter after SA than after GA (median 22.5 vs. 28 days). Recovery of HRQoL and duration of sick leave were negatively influenced by postoperative complications.In particular, the mental component of HRQoL was negatively affected by minor complications, even six months after the operation. Conclusions:Spinal anesthesia with intrathecal morphine provided substantial advantages in fast track abdominal hysterectomy for benign gynecological disorders by providing faster recovery and shorter sick leave compared with general anesthesia. Fast track hysterectomy and quality of life3

show abstract

“…7,[12][13][14][15][16][17][18][19] However, comparative studies consisting of a patient control group who under-went a different operation in the same time-span as the hysterectomy group found no detrimental effect after TAH compared with the control group at up to 2 years of follow up. 5,[20][21][22][23][24][25] This difference in reported UI rates may be explained by the follow-up intervals as the potential anatomical alteration of the bladder and neurological damage may result in progressive damage years after a TAH. [26][27][28][29] The long-term follow up of our study has demonstrated that statistically more women were referred with UI after a TAH than after a TCRE (15 versus 7%).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Allahdin

Harrild

Warraich

et al. 2007

BJOG

View full text Add to dashboard Cite

Objective To test the hypothesis that the hospital referral rate for urinary incontinence (UI) symptoms, within 10 years of a simple total abdominal hysterectomy (TAH) for dysfunctional uterine bleeding (DUB), would differ to that after a transcervical resection of the endometrium (TCRE).Design Retrospective case note review.Setting Teaching hospital in north east Scotland.Population All women who had a TAH (316) or a TCRE (229) for DUB, during the period from 1 January 1990 to 31 December 1994, who had never been referred for symptoms of UI prior to their operation.Methods Independent t tests, Mann-Whitney U tests and Chisquared tests were used to compare the two study groups in terms of demographic details and outcome measures. Newcombe's method for the comparison of two unpaired proportions was used to calculate 95% CIs for the differences in outcome measures between the two operations. Logistic regression was conducted to investigate associations with hospital referral for UI. proportions -1 to 8%). There were a greater number of hospital referrals for treatment of UI in the TAH group (36, 11%) than in the TCRE group (12, 5%), 95% CI for the difference in proportions (1-11%). After adjusting for age, weight, smoking status and mode of delivery, the increased rate of hospital referral for UI after TAH remained, with an odds ratio of 2.31, 95% CI 1.24-4.30.Conclusions TAH is associated with a significantly increased incidence of hospital referral for UI, urological investigations and treatment for UI at 10 years of follow up compared with TCRE.Keywords Hysterectomy, TCRE, urinary incontinence.Please cite this paper as: Allahdin S, Harrild K, Warraich Q, Bain C. Comparison of the long-term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence.

show abstract

Randomised controlled trial of total compared with subtotal hysterectomy with one‐year follow up results

Abstract: A smaller proportion of women suffered from urinary incontinence after total abdominal hysterectomy than after subtotal abdominal hysterectomy one year post-operatively.

Cited by 170 publications

References 55 publications

Chronic pain after hysterectomy

Chronic pain after hysterectomy

Health‐related quality of life and postoperative recovery in fast‐track hysterectomy

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Contact Info

Product

Resources

About