Hysterectomy in the 21st century: different approaches, different challenges.

نویسنده

  • Andrew I Brill
چکیده

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 advantage of the vaginal approach over other methods of hysterectomy for benign conditions. Regrettably, the state of education in residency programs is not providing a level of surgical competency to meet this charge. Whenever vaginal surgery is not an option, laparoscopically assisted hysterectomy offers the best alternative. Although the promises of supracervical hysterectomy have yet to be demonstrated, laparoscopic supracervical hysterectomy may offer the least morbid alternative to vaginal hysterectomy.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Medical Education in 21st-century

Medical education play an important role in health of people in 20st-century, but this system has to change overtime. Medical education must respond to not only the demand of community at larg but also to changing in new technologies. Medical education have been criticized in last two decades of 20st-century, because of producing too many specialists focus on treatment instead of health, insuf...

متن کامل

مراقبت های بهداشتی اوَلیَه (PHC) همچنان راهبردی برای گسترش عدالت در سلامت

Introduction: The impact of PHC in providing and extending equity is valuable. To present the PHC role in health system, and providing some approaches to deal with its related challenges. Literature review: Alma Ata declaration is a valid document for defining principles and bases of PHC. In 1987 the PHC was accepted as a major key to achievement for Health For All (HFA)by the year 2000.But the...

متن کامل

A Security Effective Structure for National Defense in the 21st Century

In accordance with human necessities and deep attention into security, research studies have today became an irrefutable necessity in this area. It is noted that traditional concepts of this important issue have changed, as a result of occurring various events in the past, particularly in the 20th century; so that security is no more limited to protecting human beings against individual and col...

متن کامل

Element of learning in 21st century from the Students' view points, in summer school of Shiraz University of Medical Sciences

Introduction: The aim of education process is learning and change in behavior which has been revolutionized in the 21st century due to the rapid changens in technology and sciences. The traditional approach to education does no longer meet the learners' needs, entailing new changes in educational curricula. This study was designed to determine the factors influencing learning in the 21st centur...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Clinical obstetrics and gynecology

دوره 49 4  شماره 

صفحات  -

تاریخ انتشار 2006