OBJECTIVE To determine the advantages and disadvantages of endometrial resection and abdominal hysterectomy for the surgical treatment of women with menorrhagia. DESIGN Randomised study of two treatment groups with a minimum follow up of nine months. SETTING Royal Berkshire Hospital, Reading. SUBJECTS 51 of 78 menorrhagic women without pelvic pathology who were on the waiting list for abd...

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...

OBJECTIVE To compare operative and early postoperative outcomes of laparoscopic-assisted vaginal hysterectomy (LAVH) and laparoscopy assisted supracervical hysterectomy (LASH) with conventional hysterectomy by laparotomy or vaginally, including patients undergoing total or subtotal hysterectomy for benign gynecologic disease. METHODS Three different methods of hysterectomies: laparoscopic, va...

INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdomi...

Total Abdominal Hysterectomy is a major invasive abdominal surgery which accompanied with severe post-operative pain. Multimodal analgesia techniques can provide efficient analgesic coverage minimal side effects, Quadratus Lumborum Block an wall block gives good effect for lower pain score and less requirement opioids. A 67-year-old female was scheduled to undergo total hysterectomy surgery. Th...

OBJECTIVE Our objective was to compare the surgical outcomes of obese women having hysterectomy according to the route (abdominal, vaginal, or laparoscopic) of the procedure. METHODS A chart review of 293 hysterectomy procedures was performed. Data were collected including operative and anesthesia time, estimated blood loss, change in hematocrit, hospital stay, complications, conversion to la...