Vaginal removal of the benign nonprolapsed uterus: experience with 300 consecutive operations

Netto, Octacílio Figueirêdo; Figueirêdo, Eduardo Garcia; Figueiredo, Priscilla G.; Pelosi, Marco A.

doi:10.1016/s0029-7844(99)80026-x

Cited by 29 publications

(12 citation statements)

References 8 publications

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“…Unger and Meeks (14) and Sheth and Malpani (2) found similar frequencies of bladder and bowel injuries and hemorrhages in populations with or without history of cesareans, but the sample sizes were small (2,14). The published figures for operative complications in patients with a history of cesarean or without such a history are similar to those in our sample (2,4,6,9,11,14–19).…”

Section: Discussionsupporting

confidence: 84%

A history of cesareans is a risk factor in vaginal hysterectomies

Boukerrou

Lambaudie

Collinet

et al. 2003

Acta Obstet Gynecol Scand

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In vaginal hysterectomy, a history of single or multiple cesareans increases the peroperative risk for hysterectomies by the vaginal route. The surgeon must take into account the history of cesareans and be attentive to the previous operating time of the bladder and uterine region especially at the time of opening the anterior peritoneal cul de sac. Nevertheless, uterine scarring as a sequel to cesareans must not be a contraindication for the vaginal route.

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Section: Discussionsupporting

confidence: 84%

A history of cesareans is a risk factor in vaginal hysterectomies

Boukerrou

Lambaudie

Collinet

et al. 2003

Acta Obstet Gynecol Scand

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“…Hemos experimentado en el Servicio de Ginecología y Obstetricia del Hospital Claudio Vicuña de San Antonio, un aumento progresivo de las tasas de histerectomía vaginal en patología benigna sin prolapso, llegando al 70%, comparable a centros de primer orden (9,10,11). Al revisar bibliografía de Kovacs (5,6), Nichols (2), Sheth (11) o Figueiredo y cols (8,9) en la década de los 90, vemos el esfuerzo en sus publicaciones por desmitificar las recomendaciones formales de expertos, respecto de la conveniencia de elegir la vía vaginal, incluso en presencia de cicatrices uterinas, laparotomías pélvicas previas, nuliparidad vaginal, necesidad de anexectomía o frente a la sospecha de adherencias según los antecedentes clínicos, avalados por sus buenos resultados quirúrgicos y lo reproducible de estos. Por esto quisimos llevar un poco más allá la dificultad técnica y comparar un grupo de cierta dificultad, con otro grupo de dificultad extrema que son un real desafío técnico y que requiere de un equipo afiatado y convencido de sus capacidades y sus limitaciones.…”

Section: Discussionunclassified

Validez De La Prueba De Histerectomía Vaginal en Pacientes Con Indicación De Vía Abdominal Mandatoria

P¹,

L²,

T³

et al. 2010

Rev. chil. obstet. ginecol.

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2 dedos de diámetro, fondos de saco bien conformados) y otro de dificultad severa (DS) (útero fijo, vagina <2 dedos, o fondos de saco planos). Resultados: No hubo diferencias significativas en edad, número de cesáreas previas, número de cirugías pélvicas previas, tamaño uterino al examen físico, porcentajes de lesión vesical iatrogénica, ni conversión abdominal entre ambos grupos de pacientes. Hubo diferencias significativas en mayor tiempo operatorio y necesidad de morcelación para el grupo DS. Se destaca la ausencia de complicaciones mayores y menores en más del 93% de las pacientes. Conclusión: Nuestros resultados desmitifican las objeciones a la vía vaginal, incluso en pacientes definidas de dificultad extrema.]]>

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“…To evaluate precisely the influence of parity on the success and complication rates of vaginal hysterectomy, we only considered patients without previous pelvic or abdominal surgery. Different authors have included various proportions of nulliparous women in their series 1,5,9 , but there is no prospective comparative study between nulliparous and multiparous women to our knowledge. Figueiredo et al 5 , in a study including 7% of nulliparous women, reported 1% intra-operative complications and 0.33% blood transfusions.…”

Section: Discussionmentioning

confidence: 99%

Vaginal hysterectomy in nulliparous women without prolapse: a prospective comparative study

Agostini¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To compare vaginal hysterectomy success and complication rates in nulliparous and primiparous or multiparous women. Design A comparative prospective study.Setting Department of Gynaecology, La Conception Hospital, Marseille, France.Population Three hundred and forty-five consecutive patients without genital prolapse requiring hysterectomy for benign conditions and without previous pelvic surgery or caesareans were treated prospectively by vaginal hysterectomy. Fifty-two patients were nulliparous and 293 were primiparous or multiparous. Methods Data of patients were collected prospectively. Main outcome measures

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Vaginal removal of the benign nonprolapsed uterus: experience with 300 consecutive operations

Cited by 29 publications

References 8 publications

A history of cesareans is a risk factor in vaginal hysterectomies

A history of cesareans is a risk factor in vaginal hysterectomies

Validez De La Prueba De Histerectomía Vaginal en Pacientes Con Indicación De Vía Abdominal Mandatoria

Vaginal hysterectomy in nulliparous women without prolapse: a prospective comparative study

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