Abdominal, laparoscopic, and vaginal hysterectomy with bilateral salpingo-oophorectomy

Abstract

This preliminary but significant study shows that the vaginal route for salpingo-oophorectomy at the time of vaginal hysterectomy is superior to other methods of hysterectomy. A randomized trial is needed to confirm these initial findings.

Prospective evaluation of the systemic immune response following abdominal, vaginal, and laparoscopically assisted vaginal hysterectomy

“…However, our results correlate with the findings in numerous trials of laparoscopic vs open cholecystectomy showing a significantly greater increase of the IL-6 and CRP levels when open surgery was performed--a finding that is consistent with the greater tissue trauma following taparotomy [1,12,15,20]. Our results regarding postoperative pain and analgesic requirements following the three different surgical procedures are comparable to previously published data [6,10,11,14,17]; however, the number of patients in our series is too smaJl to achieve significant results.…”

“…Numerous studies have compared the subjective parameters of surgical trauma, such as pain duration and intensity, postoperative" analgesic requirements, and time token to return to normal activity [10,11,14,17]. According to these subjective criteria, the surgical trauma provoked by AH is significantly greater than that experienced with VH or LAVH.…”

The feasibility and safety of transvaginal bilateral salpingo‐oophorectomy

“…The mean operating time of 189 minutes reported in the present study exceeded that of previous investigations (53–90 minutes) . This difference could reflect the routine use of cystoscopy with indigo carmine.…”

“…Other case series have reported blood transfusion rates of 2.4% and 7.5% . A postoperative pyrexia rate of 3.7% was noted following administration of intraoperative intravenous antibiotics …”

“…Data regarding the feasibility and outcomes of BSO when performed at the time of vaginal hysterectomy has mainly come from small‐scale studies . The aim of the present study was to investigate transvaginal BSO in a large case series of consecutive patients.…”