Hysterectomy trends for benign indications over a 15-year period in an academic teaching center in Poland: a retrospective cohort study

Abstract

Objectives: The aim of the study was to evaluate changes in the operative trends for various types of hysterectomy due to benign indications, between 2001 and 2015, at the 2 nd Department of Gynecology, Medical University of Lublin, as compared to the National Health Service (NHS) registry in Poland. Material and methods:A retrospective cohort study was conducted. Data from the Internal Hospital Discharge Registry and Pathological Results Registry have been compared to the NHS database, which has been available nationwide since 2009. Results:The study group included 5629 women who underwent hysterectomy due to benign indications. During the study period, the following number of procedures were performed: total abdominal hysterectomy -344 (6.11%), total abdominal hysterectomy with bilateral salpingo-oophorectomy -1760 (31.27%), total vaginal hysterectomy -563 (10.00%), subtotal abdominal hysterectomy -2536 (45.05%), and laparoscopically-assisted subtotal hysterectomy (LASH) -426 (7.57%). The abdominal route, with the preference for subtotal abdominal hysterectomy, was the main approach to hysterectomy. Symptomatic fibroids were the most common indication for the procedure. Comparison of data collected over the last five years revealed a significant difference in the approach to hysterectomy in favor of subtotal abdominal hysterectomy (SAH) and LASH.Conclusions: Less invasive techniques of hysterectomy (LASH, SAH), which are the preferred choice at the 2 nd Department of Gynecology (Lublin), are safe and effective options of treating benign conditions. We are of the opinion that these approaches should be offered to patients instead of more radical techniques. Proper training of physicians may influence the decision-making process in favor of minimally invasive techniques.

Impact of Pelvic Pain and Endometriosis on Patient-Reported Outcomes and Experiences of Benign Hysterectomy: A Study from the Swedish National Register for Gynecological Surgery

“…The treatment involves medical and surgical interventions, with hysterectomy being one of the ultimate treatment modalities. It is estimated that endometriosis is the indication for 2-12% of all hysterectomies [9][10][11][12] .…”

Hysterectomy in Poland between 2011 and 2016. Changing trends in the surgical approach to hysterectomy

“…According to the data acquired from the National Health Fund (NHF), approximately 35,000 women a year undergo this procedure. The most frequent indications for hysterectomy apart from neoplastic diseases of the reproductive organs are uterine fibroids, abnormal uterine bleeding, pelvic organ prolapse and endometriosis [1]. Considering the anatomical extent of hysterectomy, the procedures can be divided into total hysterectomy (TH) and supracervical hysterectomy (SH).…”