OBJECTIVE To generate structured detailed uniform convalescence recommendations after gynaecological surgery by a modified Delphi method amongst experts and a representative group of physicians. DESIGN Modified Delphi study. SETTING Expert physicians recruited by their respective medical boards and employed at different hospitals, doctor's surgeries and healthcare services. POPULATION Twe...

OBJECTIVE A metaanalysis of randomized trials was conducted to evaluate if the type of hysterectomy, total abdominal hysterectomy or supracervical hysterectomy, has an impact on the development of urinary incontinence. STUDY DESIGN We searched MEDLINE, EMBASE, CINAHL, Biological Abstract, and the Cochrane Library up to February 2007; abstracts at major meetings and bibliographies of retrieved...

For much of the twentieth century hysterectomy has stood as one of the cornerstones of gynaecological surgery. There has been a relatively stable and effective approach to technique and all gynaecologists were trained to master the abdominal and vaginal approaches and their relative advantages and indications. If anything any controversy associated with hysterectomy has been related to the fate...

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...

Objectives: The aim of the current study is to examine changes in sexual function, incontinence and quality of life after hysterectomy, with particular regard to different surgical methods of hysterectomy. Material and methods: A total number of 210 women with hysterectomy were asked to answer the questionnaire between 2011 and 2013; 164 of them accepted to cooperate. Twenty-one women were excl...

Vaginal vault perforation and evisceration of abdominal contents is a rare but well recognised complication hysterectomy. We presented case 40-year-old female with isolated omental prolapse 10 months post open hysterectomy after penile-vaginal intercourse. Early identification, initiation antibiotics operative management are critical to sepsis source control.

BACKGROUND AND OBJECTIVES To estimate the incidence of operative complications and compare operative cost and overall cost of different methods of benign hysterectomy including abdominal, vaginal, laparoscopic, and robotic techniques. METHODS We performed a retrospective cohort analysis (Canadian Task Force classification II-2) of all patients who underwent a hysterectomy for benign reasons i...

Aim: To evaluate the effect of total salpingectomy on ovarian reserve and function during abdominal hysterectomy. Method: Twenty five patients undergoing total abdominal hysterectomy for dysfunctional uterine bleeding were randomly allocated into two groups; group (I) 13 patients undergoing total abdominal hysterectomy with bilateral excision of both tubes. Group (II) 12 patients undergoing cla...

Objectives: 1) To study the feasibility of performing and outcome of vaginal hysterectomy in uteri without any descent and associated with benign ovarian tumour. 2) To compare the outcome of vaginal hysterectomy over hysterectomy performed through abdominal route and laparoscopically. Methodology: Three hundred (300) patients requiring pan hysterectomy for benign ovarian tumours were studied wi...

Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. We previously found use of the harmonic scalpel to be extremely helpful in performing laparoscopically assisted vaginal...