Surgical Approach to Hysterectomy for Benign Gynecological Diseases

Ali, Samir Abdalla; Farahat, Mohamed Mohamed; ElShafei, Mahmoud Ahmed Mohamed

doi:10.21608/ejhm.2019.55490

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…It was reported that laparoscopically assisted vaginal hysterectomy procedures were associated with fewer fever episodes or unexplained infections and shorter operation times than Total Laparoscopic Hysterectomy (TLH) procedures, while, abdominal and vaginal hysterectomies were associated with the lengthier operation and more bleeding. It was further added that fibroid was the most common reason for abdominal hysterectomy (40%), vaginal hysterectomy (36%), and laparoscopic hysterectomy (48%) 3 . Research revealed the MLR results in a trend analysis.…”

Section: Discussionmentioning

confidence: 99%

“…A substantial number of women undergo hysterectomy, each year and 70% of the hysterectomies are performed for benign indications, such as leiomyoma, adenomyosis, and polycystic ovarian syndrome [1][2] . Size and shape of the vagina and uterus, the extent of extrauterine disease, accessibility to the uterus, surgeon training and experience, available hospital facilities, need for concurrent procedure and the preference of the informed patient can influence the route of hysterectomy for benign causes 3 .…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences

Asif¹,

Tajasar²,

Bibi³

et al. 2022

PJMHS

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Background: Hysterectomy is one of the most common gynecological surgeries regardless of the surgeon’s approach. Purpose: This study was conducted to compare three hysterectomy techniques, viz abdominal, vaginal and laparoscopic hysterectomy, in terms of their effectiveness and low post-op complications. Methods: The study's cohort included 631 women who underwent benign hysterectomies between 2018 and 2022 in tertiary care hospitals in three areas of Pakistan. The patients in Groups A, B, and C comprised 277, 43 and 311 patients, who were surgically operated by LHs, VHs, and AHs, respectively. Findings: Most of the patients with BH were of age 39-50 years and multiparous with an average weight of 71.4+15 Kg. The major (p<0.05) underlying medical conditions were endometriosis, followed by uterine bleeding, fibroids, pelvic prolapse, adenomyosis and gynecological cancer having an incidence of 44.05, 36.45, 11.88, 5.38, 1.26 and 0.95%, respectively. The AH and VH had the highest incidence of surgical and post-operative problems (p<0.05) compared to the LH, with percentages of 56.59, 55.81, and 20.21%, respectively. Among complications, most often observed were thrombosis, post-operative infections, and bleeding (p<0.05). Practical implications: It was recommended that the gynaecologist should pursue LH, which is less invasive and has a high success rate, for BH. Conclusion: It was thus concluded that the laparoscopic hysterectomy was minimally invasive and was associated with a low incidence of intraoperative and postoperative complications. Keywords: Endometriosis; Non-invasive hysterectomy; Laparoscopic hysterectomy; Intraoperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences

Asif¹,

Tajasar²,

Bibi³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…The type of hysterectomy performed depends on the reason for the procedure. In all cases, menstruation permanently stops and a woman loses the ability to bear children [5]. Hysterectomy may be experienced differently by women.…”

Section: Introductionmentioning

confidence: 99%

The Lived Experience of Hospitalized Women Undergoing Hysterectomy: A Phenomenological Study

Mahmoud

Rahman

Aboushady

2023

Tanta Scientific Nursing Journal

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Background: Hysterectomy is one of the main gynecological procedures which affect a woman's life in numerous ways, including physically, psychologically, socially, and sexually. Following hysterectomy, these effects on the women's physical and mental health are contradictory, despite improvements in their biopsychosocial function. The aim of the current study is to explore the lived experience of hospitalized women undergoing hysterectomy. Design: A phenomenological qualitative research design was utilized to achieve the aim of the study. Sample: A purposive sample of fifteen women who had a hysterectomy. Tools for data collection: three tools were used for data collection; a structured interviewing questionnaire; an unstructured interviewing questionnaire; the digital voice recorder and field notes. Setting: The interview was conducted at the high-risk pregnancy unit and gynecological inpatient department at Obstetrics and Gynecological Hospital which is affiliated with Cairo University Hospitals. Results: The overall experience as perceived by the participants could be described, within a framework of time sequences, as the following: 1) The immediate reaction towards hysterectomy was reflected by different feelings such as acceptance of the diagnosis, shock, sadness, and depression; 2) Early post-procedure suffering due to physical and psychological factors; 3) Expected later concerns and actual needs such as concern about family and children, sexual concern, need for affections and support from husband, needs for education; 4) Late post-procedures complaints due to fatigability, weight loss, social effects, loss feminine role, anxiety, altered sexual behavior and excitement. Conclusion: The current study concluded that hysterectomy has negative physical, psychological, and social impacts on women's lives in this study sample. Recommendation: Before women are discharged from the hospital, healthcare professionals in postoperative departments must address these potentially distressing psychological and physical consequences of hysterectomy.

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Effect of an Educational Program on Gynecological Nurses′ Performance Pre and Post Hysterectomy Surgery

Mahmoud

El-Adham

Hashem

2021

Tanta Scientific Nursing Journal

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Surgical Approach to Hysterectomy for Benign Gynecological Diseases

Cited by 3 publications

References 10 publications

Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences

Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences

The Lived Experience of Hospitalized Women Undergoing Hysterectomy: A Phenomenological Study

Effect of an Educational Program on Gynecological Nurses′ Performance Pre and Post Hysterectomy Surgery

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