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Total hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries.
J Reprod Med. 2002 Jan; 47(1):4-8.JR

Abstract

OBJECTIVE

To compare the different techniques of hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries.

STUDY DESIGN

A retrospective study in a university hospital analyzed 148 total hysterectomies in women without vaginal deliveries performed from August 1991 to June 2000. Forty-four patients had had cesarean sections (29.7%), and 104 (70.3%) were nulliparous. Twenty-four patients had had abdominal myomectomies (16.2%). The vaginal route (group 1) was used for 77 patients (52%), 56 (37.8%) had laparotomies (group 2), and 15 (10.2%) had laparoscopically assisted vaginal hysterectomies (group 3).

RESULTS

The uterine weight was 275 (+/- SD 140) g in group 1, 830 (+/- SD 1620) in group 2 and 331 (+/- SD 160) in group 3. Mean operation time was 87 (+/- SD 76) minutes in group 1, 96 (+/- SD 41) in group 2 and 112 (+/- SD 56) in group 3. There was one serious complication with the vaginal route (sigmoid injury). The hospital stay was 4 (+/- SD 3.1) days in group 1, 7.1 (+/- SD 3.8) in group 2 and 4.3 (+/- SD 1.5) in group 3.

CONCLUSION

Vaginal hysterectomy for a nonprolapsed, benign uterus is indicated for women without vaginal deliveries and is feasible in 72% of cases in our recent experience, with a low complication rate. Training in vaginal surgery should allow safe performance of the procedure at most centers.

Authors+Show Affiliations

Chauveaud A
Department of Obstetrics and Gynecology, Hôpital Antoine Béclère, 157 rue de la porte de Trivaux, 92 141 Clamart, France.
de Tayrac R
No affiliation info available
Gervaise A
No affiliation info available
Anquetil C
No affiliation info available
Fernandez H
No affiliation info available

MeSH

AdultAgedCesarean SectionCost-Benefit AnalysisFemaleFollow-Up StudiesHumansHysterectomyHysterectomy, VaginalLaparoscopyLength of StayMiddle AgedOrgan SizeParityProbabilityRetrospective StudiesTreatment OutcomeUterus

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11838309

Citation

Chauveaud, Aurélia, et al. "Total Hysterectomy for a Nonprolapsed, Benign Uterus in Women Without Vaginal Deliveries." The Journal of Reproductive Medicine, vol. 47, no. 1, 2002, pp. 4-8.
Chauveaud A, de Tayrac R, Gervaise A, et al. Total hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries. J Reprod Med. 2002;47(1):4-8.
Chauveaud, A., de Tayrac, R., Gervaise, A., Anquetil, C., & Fernandez, H. (2002). Total hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries. The Journal of Reproductive Medicine, 47(1), 4-8.
Chauveaud A, et al. Total Hysterectomy for a Nonprolapsed, Benign Uterus in Women Without Vaginal Deliveries. J Reprod Med. 2002;47(1):4-8. PubMed PMID: 11838309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries. AU - Chauveaud,Aurélia, AU - de Tayrac,Renaud, AU - Gervaise,Amélie, AU - Anquetil,Christophe, AU - Fernandez,Herve, PY - 2002/2/13/pubmed PY - 2002/7/23/medline PY - 2002/2/13/entrez SP - 4 EP - 8 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 47 IS - 1 N2 - OBJECTIVE: To compare the different techniques of hysterectomy for a nonprolapsed, benign uterus in women without vaginal deliveries. STUDY DESIGN: A retrospective study in a university hospital analyzed 148 total hysterectomies in women without vaginal deliveries performed from August 1991 to June 2000. Forty-four patients had had cesarean sections (29.7%), and 104 (70.3%) were nulliparous. Twenty-four patients had had abdominal myomectomies (16.2%). The vaginal route (group 1) was used for 77 patients (52%), 56 (37.8%) had laparotomies (group 2), and 15 (10.2%) had laparoscopically assisted vaginal hysterectomies (group 3). RESULTS: The uterine weight was 275 (+/- SD 140) g in group 1, 830 (+/- SD 1620) in group 2 and 331 (+/- SD 160) in group 3. Mean operation time was 87 (+/- SD 76) minutes in group 1, 96 (+/- SD 41) in group 2 and 112 (+/- SD 56) in group 3. There was one serious complication with the vaginal route (sigmoid injury). The hospital stay was 4 (+/- SD 3.1) days in group 1, 7.1 (+/- SD 3.8) in group 2 and 4.3 (+/- SD 1.5) in group 3. CONCLUSION: Vaginal hysterectomy for a nonprolapsed, benign uterus is indicated for women without vaginal deliveries and is feasible in 72% of cases in our recent experience, with a low complication rate. Training in vaginal surgery should allow safe performance of the procedure at most centers. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/11838309/Total_hysterectomy_for_a_nonprolapsed_benign_uterus_in_women_without_vaginal_deliveries_ DB - PRIME DP - Unbound Medicine ER -