Hysterectomy for Heavy Menstrual Bleeding

Meij, Eva van der; Emanuel, Mark Hans

doi:10.2217/whe.15.87

Cited by 17 publications

(12 citation statements)

References 57 publications

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“…Hysterectomy performed on benign indication is the most common major gynecological procedure [1]. Hysterectomy may be accomplished either by removing the entire uterus (total hysterectomy) or retaining the cervical part (subtotal hysterectomy) using an abdominal or minimally invasive (laparoscopic or vaginal) approach [2].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Impaired Patient-Reported Satisfaction and Increased Length of Hospital Stay Following Hysterectomy on Benign Indications in Premenopausal Women: a Study From the Swedish National Register for Gynecological Surgery

Wodlin

2019

Geburtshilfe Frauenheilkd

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Introduction The aims of the study were to evaluate the impact of intra- and postoperative complications on satisfaction one year after hysterectomy for benign conditions, to determine risk factors for low patient satisfaction and to analyze whether complications were associated with the length of hospital stay. Material and Methods A retrospective study of 27 938 women from the Swedish National Register for Gynecological Surgery undergoing hysterectomy for benign conditions between January 2004 and June 2016. Data were obtained from prospectively collected pre-, peri- and postoperative forms. Statistical analyses were performed using multivariable logistic regression models. Crude and adjusted odds ratios and 95% confidence intervals are presented. Results More than 90% were satisfied with the hysterectomy. Dissatisfaction was associated with complications. Pelvic pain as indication, preoperatively having less expectations to get rid of symptoms or being alleviated from surgery, and current smoking were also risk factors for low patient satisfaction. Vaginal and abdominal subtotal hysterectomies were associated with high satisfaction. Occurrence of complications intra- and postoperatively before discharge was associated with increased length of hospital stay, as well as occurrence and severity of complications reported after discharge from hospital. Conclusions Complications were strongly associated with lower patient satisfaction. Preoperative expectations of surgery, indication, mode of surgery and life-style factors had impact on the satisfaction. Patient-centered information to ensure realistic expectations and prevention of complications seem to be essential to gain optimal patient satisfaction with surgery.

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Section: Introductionmentioning

confidence: 99%

Risk Factors for Impaired Patient-Reported Satisfaction and Increased Length of Hospital Stay Following Hysterectomy on Benign Indications in Premenopausal Women: a Study From the Swedish National Register for Gynecological Surgery

Wodlin

2019

Geburtshilfe Frauenheilkd

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“…The most commonly performed major surgical operation in gynaecology is hysterectomy. It is an effective treatment for heavy menstrual bleeding however it is associated with physical and emotional complications as well as social and economic costs (van et al, 2016;Urbachet al, 2006).A review of incidence shows that physiotherapy management carried out soon as possible following gynaecological operation enhances the patient's quality oflife (Dronkers et al, 2016;Phansopkaret al, 2020;Schiemanck et al, 2006;).In these patients, the preventive aspect of physiotherapy needs to be promoted more. Post-operative gynaecological patients have been deprived of the management of physiotherapy and a large number of physiotherapists tend to prophylactically benefit patients with breathing exercises if followed.In our case report, patient confirmed abdominal pain and lower limb pain with insidious onset.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

Tikhile¹

2021

Biosc Biotech Res Comm

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Menorrhagia is a prolonged and excessively serious menstrual bleeding (Walker et al., 2015). It is not due to any underlying disease, the likely reasons include hormone imbalance, ovary impairments, uterine fibroids, intra uterine devices, medications etc. Vaginal hysterectomy is a procedure in which the uterus is surgically removed via the vagina. Non descent vaginal hysterectomy (NVDH) is preferred for uterine removal as it is easy and time efficient.Immediate care with physiotherapy is recommended in post-operative patients for early recovery. This42-year-old woman was mainly concerned with per vaginal bleedingfor 2 months. Also complaints includedpain in lower abdomen and lower limb tingling and numbness.She was unable to perform her daily activities. Menorrhagia was confirmed with investigations like sonography and haematological investigations. Patient was treated withnon-descent vaginal hysterectomy and post-surgical physical therapy. Timely physiotherapy rehabilitation plan in post-surgical phase helps in early functional restoration.

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“…This surgical method of treatment was found to be efficacious, although it is associated with a number of well-known and analyzed serious disadvantages. Hysterectomy has a relatively high morbidity and mortality rate, and direct and indirect costs associated with the procedure are also quite significant (van derMeij and Emanuel, 2016).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Bipolar Radiofrequency Ablation (Novasure Endometrial Ablation System) on Endometrial Thickness and Bleeding in Patients With Premenopausal Bleeding

Elagamy

El-Garhy

Hamdy

2021

Al-Azhar Medical Journal

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Background: Ablation of the endometrial lining of the uterus as an alternative to hysterectomy was found to be a less invasive and aggressive method. A large number of clinical trials, as well as retrospective analysis of clinical and financial data, has shown that endometrial ablation allows for a lower morbidity and mortality rate and significantly lower procedure costs. Worldwide, endometrial ablation is increasingly being adopted by the gynecological community.Objective: To study the effect of bipolar radiofrequency ablation system on endometrial thickness and bleeding in patients with premenopausal bleeding. Patients and Methods:This was a prospective comparative randomized study including 30 women with premenopausal bleeding not responding to medical treatment performed at Al-Azhar University hospitals and Gamal Abdel Nasser Hospital during the period from April 2016 to October 2018. Results:The majority of the patients improved (83.3%), 19 of them have complete recovery (63.3%), while 6 cases (20.0%) have minor bleeding, 4 cases (13.3%) have bleeding less before treatment, while only one case has no change. Conclusion:Bipolar radiofrequency ablation performed under local anaesthetic in the postmenstrual phase is an effective and efficient method of treating the majority of women who wish conservative surgical treatment for heavy menstrual loss.

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Hysterectomy for Heavy Menstrual Bleeding

Cited by 17 publications

References 57 publications

Risk Factors for Impaired Patient-Reported Satisfaction and Increased Length of Hospital Stay Following Hysterectomy on Benign Indications in Premenopausal Women: a Study From the Swedish National Register for Gynecological Surgery

Risk Factors for Impaired Patient-Reported Satisfaction and Increased Length of Hospital Stay Following Hysterectomy on Benign Indications in Premenopausal Women: a Study From the Swedish National Register for Gynecological Surgery

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

The Effect of Bipolar Radiofrequency Ablation (Novasure Endometrial Ablation System) on Endometrial Thickness and Bleeding in Patients With Premenopausal Bleeding

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