Recent results from metaanalyses and observational studies have suggested that total abdominal hysterectomy (TAH) is superior to laparoscopic supracervical hysterectomy (LSH) for the treatment of benign gynecologic conditions. However, because LSH is associated with fewer intraoperative complications, shorter operative time, and preserves patient anatomy and sexual function in comparison with T...

OBJECTIVE To compare laparoscopic hysterectomy and abdominal total hysterectomy regarding influence on postoperative psychological wellbeing and surgical measures. DESIGN A prospective, open, randomised multicentre trial. SETTING Five hospitals in the South East of Sweden. POPULATION Hundred and twenty-five women scheduled for hysterectomy for benign conditions were enrolled in the study,...

Background. The idea of laparoscopic assisted vaginal hysterectomy (LAVH) is to convert a potential abdominal hysterectomy to a vaginal one, thus decreasing associated morbidity and hastening recovery. We compared intraoperative and postoperative outcomes between LAVH and abdominal hysterectomy, to find out if LAVH achieves better clinical results compared with abdominal hysterectomy. Material ...

BACKGROUND Total and subtotal abdominal hysterectomy for benign indications have been compared in randomized clinical trials and observational studies. A meta-analysis is performed to summarize the evidence. METHODS Thirty-four randomized clinical trials and observational studies comparing total and subtotal abdominal hysterectomy for benign indications were included. Endpoints were self-repo...

OBJECTIVE To summarise how costs and health benefits will change with the adoption of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer. DESIGN Cost-effectiveness modelling using the information from a randomised controlled trial. PARTICIPANTS Two hypothetical modelled cohorts of 1000 individuals undergoing total lap...

OBJECTIVE To evaluate the most appropriate surgical method of hysterectomy (abdominal, vaginal, or laparoscopic) for women with benign disease. DESIGN Systematic review and meta-analysis. DATA SOURCES Cochrane Menstrual Disorders and Subfertility Group Trials Register, Cochrane Central Register of Controlled Trials, Medline, Embase, and Biological Abstracts. SELECTION OF STUDIES Only rand...

Objectives: The aim of the current study is to examine changes in sexual function, incontinence and quality of life after hysterectomy, with particular regard to different surgical methods of hysterectomy. Material and methods: A total number of 210 women with hysterectomy were asked to answer the questionnaire between 2011 and 2013; 164 of them accepted to cooperate. Twenty-one women were excl...