Editor I was indeed surprise to read in Dr Ravindran's article' that only 95 out of 707 cases of hysterectomies carried out in the 14 government hospitals in his study were vaginal hysterectomies. This is very worrying because vaginal hysterectomy is now recognised as the treatment of choice over abdominal hysterectomy. Most hysterectomies can be carried out via the vaginal route. The extremely...

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 present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject. DESIGN Case report and literature review. SETTING A major university, tertiary-care hospital. PATIENT(S) One patient, with said pathology, who gave informed consent for exploratory laparotomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy. INTERVEN...

Vaginal and laparoscopic hysterectomies have been clearly associated with decreased blood loss, shorter hospital stay, speedier return to normal activities, and fewer abdominal wall infections when compared with abdominal hysterectomies. In this review, the authors outline the 10 steps to a successful laparoscopic hysterectomy.

Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal hysterectomy, laparoscopic a...

OBJECTIVE The study objective was to compare total costs for hospital stay and postoperative recovery for 2 groups of women who underwent fast-track abdominal benign hysterectomy: 1 group under general anesthesia; 1 group under spinal anesthesia. Costs were evaluated in relation to health-related quality of life. STUDY DESIGN Costs of treatment were analyzed retrospectively with data from a r...

Hysterectomy is a very common gynaecological procedure. The vaginal route is considered preferable for hysterectomy, although the ideal route for women unsuitable for the vaginal approach remains unclear. We performed a meta-analysis of published randomised controlled trials to compare outcomes in total abdominal hysterectomy (TAH) and total laparoscopic hysterectomy (TLH) for benign disease. P...

Background and Objective: The low quality of recovery after anesthesia has prolonged postoperative hospitalization time. The purpose of this study was to compare the effect of general anesthesia and spinal anesthesia on quality of recovery after abdominal hysterectomy. Materials and Methods: This study is a clinical trial on 100 women 35 to 70 years with ASA class I, II who candidate to abdomi...

BACKGROUND: Our investigation sought to compare changes in sexual function following supracervical hysterectomy (SCH) and total abdominal hysterectomy (TAH). METHODS: A retrospective chart review was performed to identify all patients who underwent supracervical hysterectomy or total abdominal hysterectomy at a tertiary care center. Patients who met criteria for participation were sent a one pa...