The first elective vaginal hysterectomy was performed in 1883 by C. Langerbeck. It took another 50 years for the first abdominal subtotal hysterectomy which was done by Charles Clay of Manchester. Ernst Wertheim performed the first radical hysterectomy for cervical cancer in 1898, the same year in which Marie Curie discovered Radium, the other modality of treatment for the same condition. In 19...

BACKGROUND Large geographic variations in hysterectomy rates are well known; however, very little is known about geographic variations in the route of the procedure, i.e. whether it is performed abdominally or vaginally. We compared utilization rates for abdominal and vaginal hysterectomies for the 14 Regional Health Authorities of England, and Northern Ireland over a three-year period. METHO...

BACKGROUND The incidence of chronic pain after hysterectomy is reported to be up to 30%, but the relative role of different pathogenic factors has not been defined. This study aimed to assess the predictive value of preoperative abdominal and vaginal mechanosensitivity for the subsequent development of acute and chronic pain after hysterectomy. METHODS Ninety women undergoing hysterectomy for...

OBJECTIVE The purpose of this study was to model outcomes in laparoscopic hysterectomy with morcellation compared with abdominal hysterectomy for the presumed fibroid uterus and to examine short- and long-term complications and death. STUDY DESIGN A decision tree was constructed to compare outcomes for a hypothetical cohort of 100,000 premenopausal women who underwent hysterectomy for presume...