Hysterectomy for Benign Gynaecological Disease- A Comparison of Methods
Keywords:
medicineAbstract
Hysterectomy is the most commonly performed major gynaecological surgery in the United
States (US) and the United Kingdom (UK), with 30 percent of American women having
undergone the procedure by the age of 60 years. In the UK, 47 percent of hysterectomies are
performed by the abdominal route, 30 percent vaginal route and three percent
laparoscopically. Vaginal hysterectomy, laparoscopically-assisted vaginal hysterectomy and
total laparoscopic hysterectomy are less invasive methods which confer decreased burden of
procedure, reduced recovery time along with improved convalescence and cosmesis
compared with abdominal hysterectomy. However, overall operative complication rates and
severe post-operative complications are greater with the laparoscopic technique compared
with abdominal hysterectomy. It has been suggested that improved surgical skill may
decrease higher complication rates and thus make laparoscopically-assisted vaginal
hysterectomy a worthy alternative to abdominal hysterectomy
References
65.
2. Maresh MJ, Metcalfe MA et al The VALUE national
hysterectomy study: description of the patients and their
surgery. Int J Obstet Gynaecol 2002;109:302-312.
3. Impey L. Obstetrics and Gynaecology 2nd Edition
Blackwell Publishing 2004.
4. Kilkku P., Gronoos M, Hirvonen T, Rauramo L.
Supravaginal uterine amputation versus hysterectomy:
Effects on libido and orgasm. Acta Obstet Gynecol
Scand 1983;62:147-52.
5. Learman LA, Summitt RL, Varner RE, et al. A
randomised comparison of total or supracervical
hysterectomy: Surgical complications and clinical
outcomes. Obstet Gynecol 2003;102:453-62.
6. Crum CP, Abbott DW and Quade BJ. Cervical cancer
screening: From the Papanicolaou smear to the vaccine
era. J Clin Oncol 2003;21:224-30.
7. Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda
I. Outcomes after total versus subtotal abdominal
hysterectomy. N Engl J Med 2002;347:1318-25.
8. Gimbel H, Zobbe V, Andersen BM, Filtenborg T,
Gluud C, Tabor. A randomised controlled trial of total
compared with subtotal hysterectomy with one-year
follow up results. BJOG 2003;110:1088-98.
9. Dicker RC, Greenspan JR, Strauss LT et al. Complications of abdominal and vaginal hysterectomy among
women of reproductive age in the United States. The
Collaborative Review of Sterilization. Am J Obstet
Gynecol 1982;44:841-48.
10. Ottosen C, Lingman G, Ottosen L. Three methods
for hysterectomy: a randomised, prospective study of
short-term outcome. BJOG 2001;107:1380-5.
11. Batra N, Tuffnell D. Vaginal hysterectomy. Rev
Gynecol Prac 2004;4:82-8.
12. Varma R, Tahseen S, Lokugamage AU, Kunde D.
Vaginal route as the norm when planning hysterectomy
for benign conditions: change in practice. Obstet
Gynecol 2001;97(4) 613-6.
13. O'Hanlan KA, Lopez L, Dibble SL, Garnier AC,
Huang GS, Leuchtenberger M. Total laparoscopic
hysterectomy: Body mass index and outcomes. Obstet
Gynecol 2003;102(6):1384-92.
14. Marana R, Busacca M, Zupi E, Garcea N, Paparella
P, Catalano GF. Laparoscopically assisted vaginal
hysterectomy versus total abdominal hysterectomy: a
prospective, randomised multicentre study. Am J Obstet
Gynecol 1999;180:270-5.
15. Olsson JH, Ellstrom M, Hahlin M. A randomised
prospective trial comparing laparoscopic and
abdominal hysterectomy. BJOG 1996;103:345-50.
16. Reich H, Roberts L. Laparoscopic hysterectomy in
current gynecological practice. Rev Gynecol Prac
2003;3:32-40.
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