OBJECTIVE To assess the standard of hysterectomy in public hospitals in Hong Kong, so as to improve the quality of patient care and outcome. DESIGN Clinical audit. SETTING Twelve Hong Kong Hospital Authority public hospitals. PATIENTS All patients undergoing hysterectomy for benign gynaecological conditions during the period from 1 July 2002 to 31 December 2002 inclusive. RESULTS A tota...

Background. The purpose of this study was to compare peri-operative morbidity, preoperative sonographic estimation of uterine weight and postoperative outcomes of women with uterine fibroids larger than 6cm in diameter or uteri estimated to weigh at least 450g, undergoing either vaginal, laparoscopically assisted vaginal or abdominal hysterectomies. Method. Ninety patients who met the criteria ...

AIM To compare subtotal colectomy to segmental colectomy for malignant left-sided colonic obstruction. PATIENTS AND METHODS Obstruction was defined by failure to trespass a colonic stenosis during endoscopy, by truncation of the contrast column during contrast enema, by severe colonic dilatation (cecum >10 cm, transverse colon >8 cm, descending colon >6 cm) or by serosal tears. From 53 consec...

BACKGROUND Electric power morcellation during laparoscopic hysterectomy allows some women to undergo minimally invasive surgery but may disrupt underlying occult malignancies and increase the risk of tumor dissemination. METHODS We developed a state transition Markov cohort simulation model of the risks and benefits of hysterectomy (abdominal, laparoscopic, and laparoscopic with electric powe...

BACKGROUND To evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury. METHODS The data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33...

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,...

OBJECTIVES To describe the prevalence of hysterectomy for women aged 18-45 seeking treatment at a chronic pain clinic, to describe patient characteristics (pain intensity, age, smoking status, hormone replacement status, and psychosocial factors) based on opioid and hysterectomy status, and to determine whether hysterectomy status predicted receipt of opioid prescription. DESIGN Retrospective...

introduction: several mehods have been proposed to alleviate pain after hysterectomy. pre-emptive analgesia has been used to relieve pain following abdominal hysterectomy with conflicting results. this study was performed to evaluate the efficacy of pre-incision skin infiltration of lidocaine in relieving postoperative pain in patients undergoing abdominal hysterectomy.  methods: 60 patients wi...

Hysterectomy is one of the most frequently performed surgical procedures in the United States. Selection of the route of hysterectomy for benign causes can be influenced by the size and shape of the vagina and uterus; accessibility to the uterus; extent of extrauterine disease; the need for concurrent procedures; surgeon training and experience; average case volume; available hospital technolog...