Subtotal Abdominal Hysterectomy

Amarin, Zouhair

doi:10.1007/978-3-319-22497-8_87

Cited by 2 publications

(3 citation statements)

References 64 publications

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“…Subtotal hysterectomy involves the removal of only the uterine body (Amarin, 2017). It is also called a partial or supracervical hysterectomy.…”

Section: Misconceptions Of Hysterectomymentioning

confidence: 99%

“…It removes the least amount of tissue and so is a treatment alternative when a woman has uterine broids, recurring broids, abnormal bleeding or chronic pelvic pain. Total hysterectomy involves the removal of both the uterine body and the cervix (Amarin, 2017). It is used to curb diseases such as uterine and cervical cancer from spreading and treat endometriosis.…”

Section: Misconceptions Of Hysterectomymentioning

confidence: 99%

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The Epidemiology Profile of Hysterectomy in Northern Zimbabwean Women

Thaka

2021

Preprint

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Hysterectomy is a procedure commonly performed to treat uterine and cervical disorders. It is a common procedure in developing countries, others listing it as the most common gynecological procedure in developed countries. The aim of the study is to determine the epidemiology profile of hysterectomy in Northern Zimbabwean women. It can either be classified according to the procedure used to perform the hysterectomy; which could be a total abdominal hysterectomy, uterus only, subtotal hysterectomy, total abdominal hysterectomy plus salphingo-oophorectomy, total abdominal hysterectomy plus bisalphingo-oophorectomy and radical hysterectomy. It can be vaginally, abdominally or laparoscopy assisted. Laparoscopy assisted vaginal hysterectomy is less common as the procedure is semi-automated. The aim of the study was to determine the prevalence of hysterectomy among the women in northern Zimbabwe, identifying patterns of occurrences and distribution of hysterectomy and determining possible indicators of hysterectomy. Parirenyatwa Group of Hospitals undertakes Histology laboratory testing of samples from hospitals in Northern Zimbabwe as the referral laboratory. A retrospective study was conducted using the census sampling method to determine the epidemiology profile of hysterectomy. The study collected 350 reports from 2019 that indicated to have been from hysterectomy and therefore the estimated prevalence rate of hysterectomy was 9.81%. The study looked at the reports of specimens brought in due to the performance of hysterectomy. The inclusion criteria of a report was a complete histology report from the Pathologist from specimens processed and microscopy slides prepared by the Scientist. Exclusion criteria was an incomplete report. Leiomyomata, post-partum hemorrhaging and chronic pelvic pain were the leading possible indicators of hysterectomy. The procedure was most commonly performed on women between the ages of 41-50 years. The total abdominal hysterectomy was 59.81% performed most of the time with most reports from Parirenyatwa Group of Hospitals and then Mutare Provincial Hospital. Delimitations was the low resource costing of the study and the automated collection of the data. The limitations were clerical errors, lack of patient data such as clinical history and lack of history or socio-economic demographics collected by the laboratory form. There is need for better data management and increase in the variation of data to collect such as clinical history, parity, marital status, income setting and other factors. Further studies can be done to give a holistic picture of the epidemiology profile of hysterectomy in Zimbabwe. There is need for an awareness campaign on hysterectomy as it is a growing common procedure among women in developing countries. Case studies would give intrinsic details unavailable in reports. Better Sexual and reproductive health information should be availed on indicators of hysterectomy according to their prevalence in different age groups.

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“…Subtotal hysterectomy involves the removal of only the uterine body (Amarin, 2017). It is also called a partial or supracervical hysterectomy.…”

Section: Misconceptions Of Hysterectomymentioning

confidence: 99%

Section: Misconceptions Of Hysterectomymentioning

confidence: 99%

The Epidemiology Profile of Hysterectomy in Northern Zimbabwean Women

Thaka

2021

Preprint

View full text Add to dashboard Cite

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“…The maternal outcome, in terms of reduction in mortality and prevention of postoperative complications, greatly depends on the timely decision, surgical skill and speed of performing obstetric hysterectomy. 4,5 In the developing world, preventable factors such as uterine rupture or uterine atony are the most common indications for obstetric hysterectomy; while conditions like postpartum hemorrhage, placenta accrete and placenta previa, apart from uterine rupture have been majorly responsible in our country. 5,6 Off-late, placenta accreta has been observed to have become the leading indication for emergency peripartum hysterectomy , especially in developed world.…”

Section: Introductionmentioning

confidence: 99%

Emergency obstetric hysterectomy: experience at a tertiary care centre in Central India

Mulik

Vibhute

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Obstetric hysterectomy is an important procedure in modern obstetrics and its proper indications, risks and complications need to be studied for judicious usage and improvement in outcome.Methods: A retrospective, record-based study was carried out over one and a half years at a tertiary care government hospital. All the patients who underwent emergency obstetric hysterectomy at the study centre during study period were studied. Labour room register, operation room register for emergency and elective cases, case records, referral slips and mortality register data were reviewed for the same and outcomes analysed.Results: Total 33 patients underwent emergency obstetric hysterectomy, with the incidence observed at 0.21%. The most common indications were atonic post-partum hemorrhage (42.4%), uterine rupture (33.3%) and morbidly adherent placenta (18.1%). Prior cesarean section (36.4%) and placenta previa (15.1%) were the commonest predisposing factors associated with PPH and uterine rupture. Subtotal hysterectomy (66.7%) was observed to be the preferred type of surgery. Out of total 7 maternal deaths that occurred, 4 (57%) were because of disseminated intravascular coagulation.Conclusions: There is increasing trend in the rate of obstetric hysterectomy along with rise in rate of previous LSCS, emphasizing the importance of the mode of delivery. Measures to reduce the rate of primary cesarean section are advisable.

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Subtotal Abdominal Hysterectomy

Cited by 2 publications

References 64 publications

The Epidemiology Profile of Hysterectomy in Northern Zimbabwean Women

The Epidemiology Profile of Hysterectomy in Northern Zimbabwean Women

Emergency obstetric hysterectomy: experience at a tertiary care centre in Central India

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