1 edition of Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions found in the catalog.
by INTECH Open Access Publisher
Written in English
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Chapter 2 Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions 23 Zouhair Amarin Chapter 3 Robotic Surgery Versus Abdominal and Laparoscopic Radical Hysterectomy in Cervical Cancer 31 E. Ancuta, Codrina Ancuta and L. Gutu Chapter 4 The Role of Modified Radical Hysterectomy in Endometrial Carcinoma Study Rundown: Hysterectomy is a common gynecological surgery in which the uterus (subtotal hysterectomy) or the uterus and cervix (total hysterectomy) are surgically removed. Indications for hysterectomy include abnormal uterine bleeding due to leiomyomas, endometrial pathology (e.g. polyps, hyperplasia) or malignancy as well as pelvic organ.
Thakar R, Ayers S, Clarkson P, et al: Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med ; Romanes GJ: , Cunningham’s Text Book of Anatomy. Oxford, Oxford University Press. pp DeLancey JO: Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol ; Subtotal Versus Total Abdominal Hysterectomy Hassan Jamal, MD, CABOG* Z Amarin, MD, MSc, FRCOG** patients were included in this audit. All operations were for benign conditions and were performed by the same team. The case notes of these patients were obtained and Pelvic drain was inserted routinely and removed the following day.
Gimbel H. Total or subtotal hysterectomy for benign uterine diseases? A meta-analysis. Acta Obstet Gynecol Scand. 86(2) Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. Apr CD Over , hysterectomies were performed in the USA in , making it the most common gynecological surgical operation. Between and , the distribution of the surgical approach was 65% abdominal, 20% vaginal, 13% laparoscopic, % robotic, and % had a radical hysterectomy. was the peak year for hysterectomy, after that there was a decline in the rates of hysterectomy .
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When hysterectomy is required for non-cancerous conditions, either the uterus alone (subtotal hysterectomy) or the uterus and the cervix (total hysterectomy) are has been suggested that not removing the cervix (subtotal hysterectomy) would reduce the chances of sexual difficulties or problems with passing urine or review has found no evidence of a difference.
PDF | OnZouhair Amarin published Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions | Find, read and cite all the research you need on ResearchGateAuthor: Zouhair Amarin.
Zouhair Amarin (April 20th ). Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions, Hysterectomy, Ayman Al-Hendy and Mohamed Sabry, IntechOpen, DOI: / Available from:Cited by: 2. There was also a Cochrane systematic review comparing the short-term and long-term outcomes of subtotal vs.
total hysterectomy for benign gynecological conditions (Lethaby et al., ). They. Subtotal Versus Total Abdominal Hysterectomy for Benign Gynecological Conditions Zouhair Amarin Jordan University of Science and Technology, Jordan 1.
Introduction Abdominal hysterectomy is the most commonly performed major gynecologic operatio n for women (1). It is considered a safe procedure with a low mortality rate for benign indications (2).
Recently, there has been some evidence of a shift from performing total abdominal hysterectomy to subtotal abdominal hysterectomy as a less invasive procedure for treating benign gynaecological disorders.
Controversy continues over whether one is superior to the other. Women referred for benign uterine diseases who did not have contraindications to subtotal abdominal hysterectomy were randomized to subtotal (n = ) vs total (n = ) abdominal hysterectomy.
All women enrolled in the trial from to who were still alive and living in Denmark (n = ) were invited to answer the validated. 1. Introduction. Hysterectomy is a common gynaecological procedure with approximatelycases performed annually in the United States than 70% of hysterectomies are performed for benign surgical indications, including menorrhagia, fibroids, pelvic pain and uterine ionally, this has been via the abdominal (either total or subtotal, depending on.
Indications. Hysterectomy is an effective treatment for heavy menstrual bleeding (HMB) but is a major surgical treatment option associated with physical and emotional complications as well as social and economic costs .Recognition of the potential morbidities allied with the availability of less invasive surgical and medical treatment options has resulted in a reduction in rates of.
A total of women who were referred for hysterectomy because of benign disease were randomly assigned to undergo subtotal or total abdominal hysterectomy. Twelve. Total versus subtotal hysterectomy were compared in a meta-analysis by Lethaby et al.
This review has not confirmed the perception that subtotal hysterectomy offers improved outcomes for sexual, urinary or bowel function when compared with total abdominal hysterectomy. that total hysterectomy for benign conditions could be substituted by subtotal hysterectomy, particularly since cancers of the cervix are declining as a consequence of Subtotal hysterectomy is a safer and technically eas- ier operation than total hysterectomy.
It is said to be associated with a lower incidence of ureteric damage. We included randomized trials comparing total versus subtotal hysterectomy for benign conditions that evaluated pelvic floor symptoms over 5 years of follow-up.
Risk of bias and GRADE assessment for quality of evidence were performed. Results: We included four studies involving participants with follow-up ranging from 5 to 14 years. The four approaches to hysterectomy for benign disease are abdominal hysterectomy (AH), vaginal hysterectomy (VH), laparoscopic hysterectomy (LH) and robotic-assisted hysterectomy (RH).
Objectives: To assess the effectiveness and safety of different surgical approaches to hysterectomy for women with benign gynaecological conditions. INTRODUCTION. Hysterectomy performed in the UK usually involves removal of the uterine cervix. Owing to suggested benefits during and after surgery, it recently has been argued that total hysterectomy for benign conditions could be substituted by subtotal hysterectomy, particularly since cancers of the cervix are declining as a consequence of screening 1, 2.
When hysterectomy is required for non‐cancerous conditions, either the uterus alone (subtotal hysterectomy) or the uterus and the cervix (total hysterectomy) are removed. It has been suggested that not removing the cervix (subtotal hysterectomy) would reduce the chances of sexual difficulties or problems with passing urine or stools.
The relative proportions of all hysterectomies performed as laparoscopically assisted vaginal hysterectomy (LAVH) peaked at 13% in and then steadily declined to % in (p for trend subtotal abdominal hysterectomy increased from % in to % in (p for trend.
This is the most common approach to hysterectomy, accounting for about 54% for all benign disease. To perform an abdominal hysterectomy, a surgeon makes a 5- to 7-inch incision, either up-and-down.
Hysterectomy is the surgical removal of the may also involve removal of the cervix, ovaries (oophorectomy), Fallopian tubes (salpingectomy), and other surrounding structures. Usually performed by a gynecologist, a hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called "complete") or partial (removal of the uterine body while leaving the cervix.
Kilkku PP. Total versus subtotal abdominal hysterectomy. In: Garcia CR, Mikuta JJ, Rosenblum NG, eds. Current Therapy in Surgical Gynecology. Toronto: BC Decker; ; 9. Helström L, Lundberg PO, Sörbom D, Bäckström T.
Sexuality after hysterectomy: a factor analysis of women’s sexual lives before and after subtotal hysterectomy. Thirty-four randomized clinical trials and observational studies comparing total and subtotal abdominal hysterectomy for benign indications were included.
Endpoints were self-reported urinary incontinence, postoperative complications, operation time, quality of life, constipation, prolapse, sexual functioning, pelvic pain, and cervical stump. Lethaby A, Ivanova V, Johnson NP.
Total versus subtotal hysterectomy for benign gynaecological conditions. Cochrane Database Syst Rev ;:CD Hemsell DL. Infections after gynecologic surgery. Obstet Gynecol Clin North Am ; Bartzen PJ, Hafferty FW.
Pelvic laparotomy without an indwelling catheter. A retrospective review of.of subtotal vs. total hysterectomy for benign gynecological conditions (Lethaby et al., ). They found nine randomized controlled trials, totaling 1, participants, for inclusion.
They found no dif-ference between the two procedures for most urinary functions, bowel functions, quality of life, and hospital readmission rate.