OBJECTIVE To compare the effects of laparoscopic hysterectomy and abdominal hysterectomy in the abdominal trial, and laparoscopic hysterectomy and vaginal hysterectomy in the vaginal trial. DESIGN Two parallel, multicentre, randomised trials. SETTING 28 UK centres and two South African centres. PARTICIPANTS 1380 women were recruited; 1346 had surgery; 937 were followed up at one year. Pri...

OBJECTIVES To compare the effects of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy on sexual wellbeing. DESIGN Prospective observational study over six months. SETTING 13 teaching and non-teaching hospitals in the Netherlands. PARTICIPANTS 413 women who underwent hysterectomy for benign disease other than symptomatic prolapse of the uterus and end...

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 To assess hysterectomy rates, type of hysterectomy, and other factors associated within the United States from 1990-1997. METHODS A descriptive statistical analysis of national discharge data was undertaken. Data from the nationwide Inpatient Sample of the Healthcare Cost and Utilization Project (from which national estimates are generated based on a 20% stratified sample of US comm...

OBJECTIVE The purpose of this study was to estimate the incidence of postoperative pulmonary complications after hysterectomy for benign indications. STUDY DESIGN This was a retrospective cohort study of all women who underwent hysterectomy for benign indications at the Cleveland Clinic from Jan. 1, 2001, to Dec. 31, 2009. Exclusion criteria incorporated patients who underwent hysterectomy fo...

Minimally invasive hysterectomy via the laparoscopic or vaginal approach is beneficial to patients when compared with laparotomy, but has not been offered in the past to all women because of the technical difficulties and the long learning curve required for laparoscopic hysterectomy. Robotic-assisted hysterectomy for benign indications may allow for a shorter learning curve but does not offer ...

AIM OF THE STUDY Aim of the study was to assess the changes in the subjective perception of quality of life in patients who underwent abdominal cervicosacropexy for pelvic organ prolapse. MATERIAL AND METHODS Forty patients with diagnosed pelvic organ prolapse (Pelvic Organ Prolapse - Quantification [POPQ] stage IV or IIIC) underwent abdominal supracervical hysterectomy and cervicosacropexy. ...

Vaginal hysterectomy fulfills the evidence-based requirements as the preferred route of hysterectomy for benign gynecologic disease. Despite proven safety and effectiveness, the vaginal approach for hysterectomy has been and remains underused in surgical practice. Factors associated with underuse of vaginal hysterectomy include challenges during residency training, decreasing case numbers among...

OBJECTIVE To describe the indications, short, intermediate and long term complications for total abdominal versus vaginal hysterectomy, in women with benign pelvic disease. METHODS This study was carried out at King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. Chart review was conducted from 1995 to 1999, for all patients who had hysterectomy for benign disease. We compared...