Rates and Routes of Hysterectomy for Benign Indications in Austria 2002 – 2014

Tamussino, Karl; Fülöp, Gerhard; Reinstadler, Evi; Neunteufel, W.; Reif, P; Laky, R; Aigmüller, T

doi:10.1055/s-0043-107784

Cited by 18 publications

(28 citation statements)

References 27 publications

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“…Growing experience in laparoscopy among the physicians offers all the advantages of minimally invasive operations also for obese patients and patients with very large fibroids (over 1,000 g) [14][15][16]. Despite an increase in the percentage of laparoscopic surgeries in relation to abdominal surgeries in Poland from 2.3% in 2011 to 9.6% in 2016, still a lot of work and focus on the training of the physicians are needed to come close to the result of 2.0% in Austria in 2014 or USA 43.4% in 2013 [17] (Tab. 7).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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Objectives: In Poland, approximately 35,000 women a year undergo hysterectomy. The surgical approach may vary depending on the indications and experience of the operator and advances in laparoscopic surgical techniques. The aim of the present study was to analyze trends in the use of various types of hysterectomy in Poland between 2011 and 2016. Summary values were given as numbers and percentages. Annual incidence of procedures and identify factors which influence these changes in gynecological practice. Material and methods: Data on hysterectomy procedures performed between 2011 and 2016 in Poland acquired from the National Health Fund reports were extracted and analyzed. Summary values were given as numbers, percentages and rate ratios (RR). Annual incidence of procedures and identify factors that influence these changes in gynecological practice. Results: Between 2011 and 2016, 215,744 women were treated by hysterectomy in inpatient settings. The total number of those procedures in analyzed period decreased by 11.5%; the incidence rate dropped by 2.15 per 100,000 women. A significant increase in laparoscopic procedures was observed (RR = 3.85; CI: 3.57-4.16; p < 0.001) along with a decrease in the number of abdominal operations (RR = 0.82; CI: 0.81-0.83; p < 0.001). Conclusions: Surgical technique advances, introduction of intrauterine systems and hormonal therapy, as well as recommendations of international institutions have brought about changes in the methods and frequency of hysterectomy. The laparoscopic approach has been gaining popularity since it is beneficial both for patients and public health system. However, the percentage of advanced minimally invasive hysterectomies is still low in Poland in comparison to other countries.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…7 Most countries report VHnp and VH for prolapse (VHp) together: Finland, the Netherlands and Austria have 44, 51 and 47%, respectively. [8][9][10] USA and Portugal report 19 and 21%, respectively. 11,12 In other countries, including the UK, Australia and Denmark, LH is replacing both VHnp and abdominal hysterectomy (AH).…”

Section: Introductionmentioning

confidence: 99%

Complications after benign hysterectomy, according to procedure: a population‐based prospective cohort study from the Danish hysterectomy database, 2004–2015

Settnes

Moeller

Topsoee

et al. 2020

BJOG

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Objective To compare the risk of complications associated with benign hysterectomy according to surgical procedure. Design Register‐based prospective cohort study. Setting Danish Hysterectomy Database, 2004–2015. Population All Danish women with benign elective hysterectomy (n = 51 141). Methods Multivariate log‐binomial regression to compute relative risks (RRs) stratified by calendar period, and adjusted for age, height, weight, smoking habits, use of alcohol, comorbidity, indications, uterine weight and adhesions. Multiple imputation and ‘intention to treat’ analyses were performed. Main outcome measures Major (grades III–V) and minor (grades I–II) Clavien–Dindo modified complications within 30 days. Results Overall, major complications occurred in 3577 (7.0%) hysterectomies and minor complications occurred in 4788 (9.4%). The proportions of major and minor complications according to type of hysterectomy were: 10.3 and 9.6% for abdominal hysterectomy (AH); 4.1 and 12.1% for laparoscopic hysterectomy (LH); and 4.9 and 8.0% for vaginal hysterectomy (VH) for non‐prolapse, and 2.3 and 6.4% for prolapse. In multivariate analyses, compared with VH for non‐prolapse, the risk of major complications was higher for AH (RR 1.82, 95% CI 1.63–2.03) but lower for both LH (RR 0.78, 95% CI 0.68–0.90) and VH for prolapse (RR 0.55; 95% CI 0.41–0.75). For LH, the risk of major complications reduced from a RR of 0.96 (95% CI 0.75–1.22) in the time period 2004–2009 to an RR of 0.72 (95% CI 0.60–0.87) between 2010 and 2015. Conclusion Laparoscopic hysterectomy and VH for uterine prolapse are associated with fewer major complications, and AH is associated with more major complications, compared with VH performed in the absence of uterine prolapse. Tweetable abstract Laparoscopic hysterectomy has fewer major complications compared with vaginal hysterectomy, in the absence of uterine prolapse.

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“…The rate of open hysterectomy is decreasing in trend worldwide because of increased use of laparoscopic techniques. 2,3 Though Hysterectomy provides a definitive cure to various benign and malignant gynecological diseases, other minimal invasive techniques and medical treatments are evolving. 4 Hysterectomy rates varies with geographical area, patient expectations, training and practice pattern of local gynecological surgeons.…”

Section: Introductionmentioning

confidence: 99%

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

et al. 2019

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Background: Hysterectomy is an effective treatment for a wide range of gynaecological diseases, both benign and malignant. There must be a periodic audit for the appropriate indication of the surgery and its complication rate. Histopathological analysis is mandatory for definitive diagnosis and further management. This study aims to review the clinical profile, indications of hysterectomy and to assess the correlation between the clinical diagnosis and histopathological report. Methods: A retrospective study of all the patients undergoing abdominal hysterectomy was conducted in the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, Nepal from January to December 2018. Demographic and clinical informations were retrieved from the medical record section. Datas were entered in the pre-designed proforma. Statistical analysis was done in terms of percentages, standard deviation, correlation and mean. Results: During the study period, 111 patients underwent abdominal hysterectomy. The mean age of the patients was 46 years. The mean duration of hospital stay was 8.7 days. Abnormal menstrual flow and pain abdomen were the commonest presenting symptoms. The most common preoperative diagnosis was fibroid followed by ovarian tumor. Leiomyoma was the commonest lesion on histopathological examination. The correlation between clinical diagnosis and histopathology was 96.07% for fibroid, 80.95% for ovarian tumor, 66.67% for adenomyosis and 38.46% for DUB. Conclusions: Fibroid uterus and ovarian mass are the common indications for abdominal hysterectomy. Histopathology is mandatory for confirming the diagnosis, proper counseling and holistic management of the patient.

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Rates and Routes of Hysterectomy for Benign Indications in Austria 2002 – 2014

Cited by 18 publications

References 27 publications

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

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

Complications after benign hysterectomy, according to procedure: a population‐based prospective cohort study from the Danish hysterectomy database, 2004–2015

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

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