Vaginal vault dehiscence (VVD) may occur rarely after hysterectomy. Although mostly, a vaginal cuff dehiscence is seen after robotic or laparoscopic hysterectomy, it may also be observed as a complication of abdominal or vaginal hysterectomy. Vaginal repair is one of the techniques used for VVD. Here, we will describe a case of vaginally repaired VVD, associated with intra-abdominal hematoma af...

The first hysterectomy was performed by Charles Clay in November 1843. It was performed due to a large myomatosus uterus. The operation was successful, however, the patient died on the fifteenth postoperative day. The first patient who survived a hysterectomy was in 1853 and it was performed by Walter Burnham. Out of his subsequent 15 patients, three patients did not survive. These early hyster...

Hysterectomy is the second most commonly performed surgical procedure in the United States. The indications for hysterectomy have changed little over the last decade. In spite of a large number of potential alternatives to hysterectomy for the management of benign disease, hysterectomy rates have remained relatively stable. The informed consent process for hysterectomy requires discussion of se...

Total Abdominal Hysterectomy is a major invasive abdominal surgery which accompanied with severe post-operative pain. Multimodal analgesia techniques can provide efficient analgesic coverage minimal side effects, Quadratus Lumborum Block an wall block gives good effect for lower pain score and less requirement opioids. A 67-year-old female was scheduled to undergo total hysterectomy surgery. Th...

In Curaçao, hysterectomies are frequently performed. A common reason for this procedure is the high incidence of leiomyomatosis. However in some cases the cervix is conserved. Following supravaginal hysterectomy most women discontinue cervical cancer screening because they think the cervix is not conserved. We aimed to get insight in the proportion of supravaginal hysterectomies and the level o...

Introduction. To identify factors that determine blood loss during peripartum hysterectomy for abnormally invasive placenta (AIP-hysterectomy). Methods. We reviewed all of the medical charts of 11,919 deliveries in a single tertiary perinatal center. We examined characteristics of AIP-hysterectomy patients, with a single experienced obstetrician attending all AIP-hysterectomies and using the sa...

OBJECTIVE A metaanalysis of randomized trials was conducted to evaluate if the type of hysterectomy, total abdominal hysterectomy or supracervical hysterectomy, has an impact on the development of urinary incontinence. STUDY DESIGN We searched MEDLINE, EMBASE, CINAHL, Biological Abstract, and the Cochrane Library up to February 2007; abstracts at major meetings and bibliographies of retrieved...

The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be made to avoid abdominal hysterectomy. The best available evidence points to the ...

For much of the twentieth century hysterectomy has stood as one of the cornerstones of gynaecological surgery. There has been a relatively stable and effective approach to technique and all gynaecologists were trained to master the abdominal and vaginal approaches and their relative advantages and indications. If anything any controversy associated with hysterectomy has been related to the fate...