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[Hysterectomies for benign pathology: is there a place for laparoscopic surgery?].
Contracept Fertil Sex. 1999 Apr; 27(4):291-7.CF

Abstract

STUDY OBJECTIVE

To investigate the alternative routes for hysterectomy for benign disease and the appropriate role of laparoscopic surgery.

DESIGN

Retrospective study of hysterectomies performed between August 1991 and July 1997.

SETTING

University hospital.

PATIENTS

Hysterectomy for benign disease without prolapse, pelvic floor relaxation.

INTERVENTION

359 hysterectomies: vaginal (n = 211), laparoscopically-assisted vaginal (n = 56), and abdominal (n = 92).

MEASUREMENTS AND MAIN RESULTS

Uterine volume was the principal indication for laparotomy. Laparoscopy was required only in cases of adnexal disorders or when the vaginal access was limited or associated with extensive adhesions. The rate of laparotomies and laparoscopies dropped steadily over the six-year study period: during the last two years, 75% of all hysterectomies were vaginal, and 90% of those for patients without a previous vaginal birth.

CONCLUSION

With experienced surgeons, the number of cases in which there appears to be poor vaginal accessibility experience decreases, and indications for vaginal hysterectomies increase.

Authors+Show Affiliations

Anquetil C
Service de Gynéco-Obstétrique, Hôpital Antoine Béclère.
Capella-Alouc S
No affiliation info available
Fernandez H
No affiliation info available

MeSH

AdultClinical CompetenceFemaleHumansHysterectomyLaparoscopyMiddle AgedRetrospective StudiesTreatment OutcomeUterine Diseases

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

10349772

Citation

Anquetil, C, et al. "[Hysterectomies for Benign Pathology: Is There a Place for Laparoscopic Surgery?]." Contraception, Fertilite, Sexualite (1992), vol. 27, no. 4, 1999, pp. 291-7.
Anquetil C, Capella-Alouc S, Fernandez H. [Hysterectomies for benign pathology: is there a place for laparoscopic surgery?]. Contracept Fertil Sex. 1999;27(4):291-7.
Anquetil, C., Capella-Alouc, S., & Fernandez, H. (1999). [Hysterectomies for benign pathology: is there a place for laparoscopic surgery?]. Contraception, Fertilite, Sexualite (1992), 27(4), 291-7.
Anquetil C, Capella-Alouc S, Fernandez H. [Hysterectomies for Benign Pathology: Is There a Place for Laparoscopic Surgery?]. Contracept Fertil Sex. 1999;27(4):291-7. PubMed PMID: 10349772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Hysterectomies for benign pathology: is there a place for laparoscopic surgery?]. AU - Anquetil,C, AU - Capella-Alouc,S, AU - Fernandez,H, PY - 1999/6/1/pubmed PY - 1999/6/1/medline PY - 1999/6/1/entrez SP - 291 EP - 7 JF - Contraception, fertilite, sexualite (1992) JO - Contracept Fertil Sex VL - 27 IS - 4 N2 - STUDY OBJECTIVE: To investigate the alternative routes for hysterectomy for benign disease and the appropriate role of laparoscopic surgery. DESIGN: Retrospective study of hysterectomies performed between August 1991 and July 1997. SETTING: University hospital. PATIENTS: Hysterectomy for benign disease without prolapse, pelvic floor relaxation. INTERVENTION: 359 hysterectomies: vaginal (n = 211), laparoscopically-assisted vaginal (n = 56), and abdominal (n = 92). MEASUREMENTS AND MAIN RESULTS: Uterine volume was the principal indication for laparotomy. Laparoscopy was required only in cases of adnexal disorders or when the vaginal access was limited or associated with extensive adhesions. The rate of laparotomies and laparoscopies dropped steadily over the six-year study period: during the last two years, 75% of all hysterectomies were vaginal, and 90% of those for patients without a previous vaginal birth. CONCLUSION: With experienced surgeons, the number of cases in which there appears to be poor vaginal accessibility experience decreases, and indications for vaginal hysterectomies increase. SN - 1165-1083 UR - https://www.unboundmedicine.com/medline/citation/10349772/[Hysterectomies_for_benign_pathology:_is_there_a_place_for_laparoscopic_surgery]_ L2 - https://medlineplus.gov/hysterectomy.html DB - PRIME DP - Unbound Medicine ER -