OBJECTIVE To estimate the incidence of cystoscopy use at time of hysterectomy and its use to detect urinary tract injury. METHODS This was a retrospective cohort study in a tertiary care academic center of 1982 patients who underwent a hysterectomy for any indication (excluding obstetric) between January 2009 and December 2010. Medical records were reviewed for baseline and perioperative char...

2 patients with endometrial cancer stage II and 2 patients with cervical cancer stage Ib1 underwent totally laparoscopic radical hysterectomy (TLRH) in 2004. The patients were placed in the lithotomic position. Laparoscopy was performed through the umbilicus and three ancillary ports were placed in the diamond shaped usual position. Only bipolar coagulation was used to control bleeding. No uter...

Among 535 patients with invasive cervical carcinoma seen between January 1975 and June 1986, 26 were found to have developed the disease within six months (65 percent), 35 within 12 months (88 percent), 37 within 13 months (93 percent), and three developed the disease within 17 months after a negative Pap smear. Eighty-eight percent of these 40 patients were under age 40 at diagnosis. Rapidly p...

OBJECTIVE Efforts are continuously being made for surgery to be less invasive with a minimal access approach. This article reports our experience with minilaparotomy hysterectomy in patients with benign gynecological disease or preinvasive pathology. MATERIAL AND METHODS A prospective study to analyse the outcome and per-operative and post-operative complications was conducted in 69 patients ...

OBJECTIVE To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. METHODS This was a prospective study of outcomes of consecutive patients who underwent total vaginal hysterectomy (VH) or abdominal hysterectomy (AH) for benign gynaecological diseases. Patient characteristics before, during, and after the operations were reviewed. Pati...

The authors present urogenital and rectogenital fistulas treated at the Department of Obstetrics and Gynecology in Novi Sad in the period from 1976 to 1999. The study comprised 28 cases of fistula out of which 17 were vesicovaginal, 3 ureterovaginal, 1 vesicorecto vaginal and 7 recto vaginal. During the investigated period there were 182 Wertheim operations, 3864 total abdominal hysterectomies,...

Objectives: To study the incidence, indications and complications of peripartum hysterectomy. Methods: A retrospective analysis of 70 cases of emergency peripartum hysterectomy performed over a period of five years from January 2004 to September 2008. At JN Medical College and Hospital AMU Aligarh was done. Results: The incidence of emergency hysterectomy was 0.54%. The main indications were ut...

IMPORTANCE Although robotically assisted hysterectomy for benign gynecologic conditions has been reported, little is known about the incorporation of the procedure into practice, its complication profile, or its costs compared with other routes of hysterectomy. OBJECTIVES To analyze the uptake of robotically assisted hysterectomy, to determine the association between use of robotic surgery an...

Results of more than 1500 laparoscopic hysterectomies have been reported since 1989. The complication rate is 10 to 11% in expert hands. However, a complication rate of 60% was reported in one community hospital series. The risks of laparoscopic hysterectomy are acceptable at 10% but not at 60%. Practitioners of laparoscopic assisted vaginal hysterectomy must review and understand the risks ass...