An audit of abdominal hysterectomy over a decade in a district hospital

Grant, John M.; Hussein, I. Y.

doi:10.1111/j.1471-0528.1984.tb05282.x

Cited by 56 publications

(27 citation statements)

References 11 publications

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“…The chance of a woman having a hysterectomy by the age of 55 has been estimated to be one in five (Vessey et al, 1992). Over 90% of hysterectomies are performed for benign disease, with up to two-thirds being carried out for menstrual disorders alone (Grant and Hussein, 1984).…”

Section: Introductionmentioning

confidence: 99%

The effect of different types of hysterectomy on urinary and sexual functions: a prospective study

El-Toukhy

Hefni

Davies

et al. 2004

Journal of Obstetrics and Gynaecology

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A prospective observational study was designed to evaluate the effect of the different techniques of hysterectomy on urinary and sexual function. One hundred and eighty-seven women aged 29-73 years and admitted for hysterectomy for various indications were recruited to the study. Women presenting primarily with major uterine prolapse and those requiring radical hysterectomy were excluded. Patients underwent one of four different techniques of hysterectomy: total abdominal, vaginal, laparoscopic or subtotal. All patients completed a standardised questionnaire addressing urinary and sexual symptoms and underwent urodynamic testing using the Lectromed 6000 System (Lectromed, Letchworth, Herts, UK) before and 6 months after surgery. Out of 187 women, 184 (98.4%) had completed data. Seventy-three patients (39%) had a total abdominal hysterectomy, 62 (34%) had vaginal, 38 (21%) had laparoscopic and 11 (6%) had subtotal hysterectomy. At 6 months after surgery, urinary symptoms occurred less frequently (P<0.01) and urodynamic studies remained unchanged. Moreover, patients reported significantly lower rates of stress incontinence (P=0.005), urgency (P=0.03) and deep dyspareunia (P<0.001) than before the operation, regardless of the hysterectomy technique used. The route of hysterectomy did not influence the outcome of surgery. We conclude that simple hysterectomy, whether performed abdominally, vaginally or laparoscopically, does not adversely affect urinary or sexual function at 6 months after surgery.

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Section: Introductionmentioning

confidence: 99%

The effect of different types of hysterectomy on urinary and sexual functions: a prospective study

El-Toukhy

Hefni

Davies

et al. 2004

Journal of Obstetrics and Gynaecology

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“…There is one absolute rule: gascooled contact tips must never be inserted into the uterine cavity (see later under Complications of Operative Hysteroscopy). Complication rates of 30% and greater have been reported; even worse, there is also a mortality rate of -0.1% [159,160]. Thus advances in operative hysteroscopy spurred a renewed search for an alternative approach to disruptive menstrual bleeding, not associated with recognizable pelvic pathology.…”

Section: Endoscopically Adapted Nd:yag Lasersmentioning

confidence: 99%

Lasers in gynecology: Why pragmatic surgeons have not abandoned this valuable technology

Reid

Absten

1995

Lasers Surg Med

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Lasers have three basic elements-an active medium, a resonator cavity, and an excitation mechanism 141. These three elements, together with safety and control adaptations, are secured within an outer console.Lasers are characterized by their active medium. First, depending upon the physical state of this substance, lasers are described as solid, liquid, or gas. Second, because the spectrum of wavelengths emitted by each element is unique, lasers are also named by the active medium from which they were generated. It must be remembered that visible light is only one small portion of an electromagnetic spectrum that spans from the long wavelengths of radio to the very short waves of X-rays and beyond (Fig. 3). Theoretically, a laser Accepted for publication October 4, 1994. Address reprint requests to Richard Reid, M.D., who is now at the Carson Centre, 29355 Northwestern Hwy. #210, Southfield, MI 48034. 0 1995 Wiley-Liss, Inc. 202 Reid and Absten 204 Reid and Absten Frequency. Hz Wavelength, m 1 MHz 1023 1019 1077 208 Reid and AbstenUltrapulse'") has produced a laser capable of sustaining average powers in superpulsed mode that were hitherto unobtainable [91.NdYAG. The neodymium:glass laser was discovered in 1961; however, the low thermal conductivity of glass posed operating problems. Hence, neodymium was doped into yttrium aluminum garnet and placed in a reflective optical cavity with krypoton arc flashlamps as the excitation source. Nd:YAG lasers emit near infrared radiation at 1.06 pm, with an operating power up to 120 watts. Early model Nd:YAG lasers required 230 volts, three phase electricity, and water cooling. However, there are now more efficient models, which utilize 115 volt power sources and air cooling. In addition to operating the Nd:YAG laser in continuous wave manner, this instrument can be configured to operate in superpulsed or Q-switched mode, thus producing very different types of tissue interactions.Erbium:YAG. In the future, erbium:YAG lasers may allow even more precise surgery upon aqueous tissues [lo]. The Er:YAG laser emits high energy pulses of midinfrared light with a wavelength of 2,940 nanometers (2.9 pm). The peak absorption of light in water occurs in the 2.9 pm range, making the Er:YAG laser energy even more highly absorbed in aqueous tissues than CO, laser energy (at 10.6 pm). The combination of high water affinity and high fluence pulses produces an exceptionally narrow zone of damage around the vaporization crater. Hence, the Er: YAG has been tried for corneal resculpting, a task generally reserved for the excimer laser. The Er: YAG laser is also very highly absorbed by osseous minerals, making it a highly precise drill and saw for bone surgery and dentistry.Ho1mium:YAG. The most recent addition to the growing array of surgical lasers is the holmium:YAG laser, which emits 0.25 millisecond pulses of midinfrared energy (2.1 pm). The laser medium is holmium, a rare earth element, within an yttrium aluminum garnet crystal. The holmium:YAG laser is excited by a xenon arc flashlamp and ...

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“…De acuerdo a múltiples estudios alrededor de un 50% de las histerectomías por causa benigna pueden ser reemplazadas satisfactoriamente por esta técnica, lo que constituye ventajas económicas para pacientes y centros hospitalarios al disminuir días-cama hospitalización, horas médicas y reinsertando prontamente a la paciente a su trabajo (15,16).…”

Section: Introduccionunclassified

Histeroscopia Quirugica. En El Hospital Claudio Vicuña De San Antonio

L.¹,

S.²,

P.³

2002

Rev. chil. obstet. ginecol.

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RESUMENSe analizan la experiencia en nuestro centro con la histeroscopia quirúrgica sobre 102 pacientes entre marzo de 1999 y abril de 2001.Pólipo endometrial (58,82%) y mioma submucoso (38,23%) han sido nuestros diagnósticos histeroscópicos más frecuentes y los procedimientos fueron la resección del pólipo endometrial (56,86%), del mioma submucoso (36,27%) y resección endometrial.Destaca la brevedad del procedimiento, su seguridad, la buena concordancia con la histología, factores que validan la técnica y concuerdan con experiencia nacional e internacionales.PALABRAS CLAVES: Histeroscopia quirúrgica SUMMARY 102 cases of hysteroscopy resection are reported in our initial experience from march 1999 to abril 2001. Endometrial polyps and submucous myoma are the principal findings in hysteroscopic procedure and the surgery performed was endometrial polyps resection, submucous myomectomy and endometrial ablation.We want to enphasize that surgery has been safe, fast and efective. INTRODUCCIONEl trabajo endoscópico ha invadido la mayor parte de las especialidades médicas, demostrando en un corto plazo sus grandes ventajas clínicas y económicas.El origen de estas técnicas cabe situarlo a principios del siglo XIX, habiendo requerido varias dé-cadas hasta que algunas de ellas como citoscopia, laparoscopia, artroscopia y otras constituyeron exploraciones de rutina en las respectivas especialidades. Sin embargo, la histeroscopia fue relegada debido a los problemas que sucedieron a cada intento de exploración en la ginecología diaria.La histeroscopia inició su aplicación con Bozzini (1805), Aubinais (1864), Desormeaux (1865), Pantaleoni (1869). Luego y otros perfeccionaron los instrumentos agregando sistemas ópticos, fuente de luz y métodos de distensión adecuados. 1 La histeroscopia diagnóstica es un examen ambulatorio que permite visualizar directamente la cavidad uterina, obteniendo imágenes certeras utilizadas en el ámbito de la infertilidad, ginecología general y oncología.

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An audit of abdominal hysterectomy over a decade in a district hospital

Cited by 56 publications

References 11 publications

The effect of different types of hysterectomy on urinary and sexual functions: a prospective study

The effect of different types of hysterectomy on urinary and sexual functions: a prospective study

Lasers in gynecology: Why pragmatic surgeons have not abandoned this valuable technology

Histeroscopia Quirugica. En El Hospital Claudio Vicuña De San Antonio

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