Hysterectomy in the 21st Century: Different Approaches, Different Challenges

Brill, Andrew I.

doi:10.1097/01.grf.0000211946.51712.42

Cited by 27 publications

(24 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The vaginal route is the gynaecologist's route of surgery [5,6], and is associated with lower overall morbidity and mortality, reduced operative time, reduced complications, shorter hospital stay and reduced cost to the patient in benign gynaecological conditions [2,7,8,9]. However abdominal hysterectomy is the favoured route of procedure worldwide inspite of the advantages of vaginal route [7,8,9]. The ease and convenience by which hysterectomy can be performed through a wide open abdominal incision, along with a lackadaisical attitude to acquiring the necessary surgical expertise required for vaginal hysterectomy, have led to a large number of gynaecologists removing the uterus abdominally.…”

Section: Introductionmentioning

confidence: 99%

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Tc¹,

Ikeako²,

Ezenyeaku³

2014

AJCMR

View full text Add to dashboard Cite

Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. This descriptive review is to awaken interest in the teaching and surgical exposure of residents in obstetrics and gynaecology in the field of vaginal surgeries. The ratio of vaginal hysterectomy to abdominal hysterectomy in Nigeria ranges from 1:4 to 1:9. The frequency of vaginal hysterectomy in centres in Nigeria ranges from 10-23%. These rates are lower than the figures quoted from the United States (25%), France (50%), Australia (40-50%) and Saudi Arabia (28%). Vaginal hysterectomy is under-utilized in Nigeria. Most centres hardly do up to five vaginal hysterectomies in a year. Residents in training hardly perform vaginal hysterectomy and may not have watched or assisted in up to ten vaginal hysterectomies before the residency programme is completed. This is completely inadequate for acquisition of proficiency. There is inadequacy and under exposure of residents in the art of vaginal surgeries in Nigeria. There is need for workshops, training and retraining of residents in the field of vaginal surgeries to meet these challenges. This would ensure production of quality gynaecologists with skills and proficiency in vaginal surgery.

show abstract

Section: Introductionmentioning

confidence: 99%

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Tc¹,

Ikeako²,

Ezenyeaku³

2014

AJCMR

View full text Add to dashboard Cite

show abstract

“…Cada año un gran número de mujeres en el mundo se ve enfrentada a la extracción del útero (1)(2)(3)(4)(5), siendo la histerectomía (HT) una de las cirugías más frecuente después de la cesárea (6,7). La patología benigna del útero es la principal causa de la HT, y en la mayoría de los casos es una cirugía programada (1,3).…”

Section: Introductionunclassified

“…La patología benigna del útero es la principal causa de la HT, y en la mayoría de los casos es una cirugía programada (1,3).…”

Section: Introductionunclassified

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

2009

Rev. chil. obstet. ginecol.

View full text Add to dashboard Cite

RESUMENAntecedentes: La histerectomía por patología benigna del útero, es una de las cirugías más frecuente después de la operación cesárea. Objetivo: Evaluar el significado que tiene la histerectomía para mujeres chilenas, beneficiarias de un hospital público de la Región Metropolitana de Santiago, Chile. Método: Estudio transversal descriptivo, de tipo cualitativo, sobre el significado que 120 mujeres histerectomizadas asigna a esa cirugía. Se describen 3 temas que reflejan el significado de la extracción del útero: pérdida, tristezadolor, y mejoría de una enfermedad. Resultados: El promedio de edad fue 56 ± 11,9 años, y de escolaridad de 7,8 ± 4,3 años. El 63% de las mujeres fue histerectomizada por patología ginecológica benigna. El significado que la mujer atribuye a la extracción del útero se encuentra relacionado a una experiencia de pér-dida, que si bien conlleva un alivio de la enfermedad, también implica dolor, tristeza y soledad. Conclusión: Sensibilizar a los profesionales de la salud, que trabajan con mujeres histerectomizadas, a comprender y respetar el significado que para ellas tiene la histerectomía y propiciar el ambiente adecuado para contenerlas y educarlas pre y pos cirugía. PALABRAS CLAVES: Histerectomía, educación, calidad de vida SUMMARYBackground: Elective hysterectomy, after caesarian section, is one of the most frequent surgeries. Objective: To evaluate the significance that the hysterectomy has for Chilean women from a public hospital of the Metropolitan Region of Santiago, Chile. Method: Qualitative and cross-sectional design study of the significance of hysterectomy for 120 women. Three themes were derived from interviews: loss, sadness -sorrow, recovery from illness. Results: The mean of age was 56 ± 11.9 years; the educational level was 7.8 ± 4.3 years. A total of 63% of women had planned elective hysterectomy preformed. The significance that the women attribute to the hysterectomy is related to the experience of loss, and although it includes recovery from illness, it also signifies sorrow, sadness, and loneliness. Conclusion: The health care providers, who work with these women, need to be respectful and understanding of the significance that the women give to this surgery, and to give them the best setting for supporting and educating them before and after the surgery.

show abstract

“…La histerectomía (HT) es una de las cirugías más frecuente en Estados Unidos (1,2), y a nivel mundial (3)(4)(5). En Chile, se estima que una de cada cinco mujeres será histerectomizada (6).…”

Section: Introductionunclassified

“…En Chile, se estima que una de cada cinco mujeres será histerectomizada (6). La miomatosis uterina es la principal patología benigna causante de HT (1,3). Según estadísticas internacionales, el 50% de las mujeres que son histerectomizadas, se les realiza además ooforectomía (7,8).…”

Section: Introductionunclassified

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

2008

Rev. chil. obstet. ginecol.

View full text Add to dashboard Cite

RESUMENAntecedentes: La histerectomía es una de las cirugías más frecuente en el mundo entero. La principal patología causante es la miomatosis uterina. A pesar de lo común de la cirugía, existe déficit en torno a la educación otorgada a este grupo de mujeres. Objetivo: El objetivo de la presente revisión bibliográfica es describir los aspectos que deben ser considerados al momento de educar a la mujer histerectomizada, específicamente las características que debiera tener el profesional, los contenidos a abordar, la metodología a utilizar, el lugar y el momento más idóneo para desarrollar la educación. Conclusiones: Una educación centrada en las necesidades de las usuarias es una pieza clave en el cuidado de las mujeres histerectomizadas, e idealmente debiera ser entregada a través de un programa educativo establecido, con contenidos oportunos y atingentes a las reales necesidades de las mujeres y sus parejas. Es necesario que la educación sea dinámica y organizada para de esta forma poder realmente responder a las necesidades de la mujer y su pareja a lo largo del proceso quirúrgico. PALABRAS CLAVE: Mujer, histerectomía, educación SUMMARYBackground: Hysterectomy is one of the most frequent surgeries in the world. Uterine fibroids are the principal cause of the surgery. Although the hysterectomy is a common procedure, there is a deficit related to the education that women receive. Objective: The objective of this literature review is to describe aspects that have to be considered at the time of providing an education to the histerectomized women. Specific aspects related to: characteristics that the professionals should have, contents to provide, methodology to use, place, and the most appropriate moment to develop the education. Conclusions: An education focused in women's care needs is an important piece of the care of the histerectomized women. Ideally this education has to be provided through an established program. This program has to give opportune contents related to the real women's needs and their partner's needs. The education has to be dynamic and organized in steps in order to respond to the women's and their partner's needs during the whole surgical process.

show abstract

Hysterectomy in the 21st Century: Different Approaches, Different Challenges

Cited by 27 publications

References 44 publications

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

Contact Info

Product

Resources

About