Vaginal Hysterectomy

W, Hawksworth; Roux, J. P.

doi:10.1111/j.1471-0528.1958.tb09190.x

“…

BYVAGINAL hysterectomy is being performed more frequently in this country in the treatment of utero-vaginal prolapse than previously, and in some centres in America the vaginal route has been used more commonly than the abdominal in performing hysterectomy (Welch and Randall, 1961). The safety of the operation has been emphasized by the very low mortality rates quoted by Benson (1958), Hawksworth and Roux (1958), Johnson (1959) and Copenhaver (1960. It was considered likely to be of interest to find out how the operation stands the test of time by re-examining patients several years after operation.

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confidence: 99%

“…It was considered likely to be of interest to find out how the operation stands the test of time by re-examining patients several years after operation. As Hawksworth and Roux (1958) state: "A true appreciation of the value and efficacy of vaginal hysterectomy, or any operation for that matter, can only be arrived at by a re-examination of the patient one year and more after operation, preferably by an independent observer and not by the original surgeon." MATERIAL In the four-year period 1954-57 vaginal hysterectomy, usually with a repair operation, was performed 355 times at the Samaritan Hospital for Women.…”

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confidence: 99%

Late Results in Vaginal Hysterectomy

Watson

¹

1963

BJOG

4

1

0

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BYVAGINAL hysterectomy is being performed more frequently in this country in the treatment of utero-vaginal prolapse than previously, and in some centres in America the vaginal route has been used more commonly than the abdominal in performing hysterectomy (Welch and Randall, 1961). The safety of the operation has been emphasized by the very low mortality rates quoted by Benson (1958), Hawksworth and Roux (1958), Johnson (1959) and Copenhaver (1960. It was considered likely to be of interest to find out how the operation stands the test of time by re-examining patients several years after operation. As Hawksworth and Roux (1958) state: "A true appreciation of the value and efficacy of vaginal hysterectomy, or any operation for that matter, can only be arrived at by a re-examination of the patient one year and more after operation, preferably by an independent observer and not by the original surgeon." MATERIAL In the four-year period 1954-57 vaginal hysterectomy, usually with a repair operation, was performed 355 times at the Samaritan Hospital for Women. Each of these patients was written to and asked to return to the hospital for interview and examhation. One hundred and forty-five patients presented themselves and this report is made up of interviews and examination of these patients with review of their case notes. The patients were examined not less than 3 years after their original operation. It was found that these patients had been operated on by one of 12 gynaecological surgeons and thus they will show the results of a varied cross-section of techniques and skills at the operation. MORTALITYIn the four-year period, amongst 355 operations, there were three deaths giving a mortality rate of 0.8 per cent. Two deaths were due to pulmonary embolism and the third to pulmonary collapse.

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“…Although vaginal hysterectomy may be a more formidable operation the mortality is low. Counseller and Hunt (1954) had one death in 2867 operations, and Hawksworth and Roux (1958) had one death in the first 1000 operations performed in Oxford. The incidence of postoperative pyrexia after vaginal hysterectomy is high (20 to 40 per cent, Pratt and Scherman, 1954) but in many cases this subsides without treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of postoperative pyrexia after vaginal hysterectomy is high (20 to 40 per cent, Pratt and Scherman, 1954) but in many cases this subsides without treatment. The incidence of serious pelvic sepsis should be no greater than 2 per cent (Hawksworth and Roux, 1958).…”

Section: Discussionmentioning

confidence: 99%

Uterine Disease After the Manchester Repair Operation

Tipton

¹

,

Atkin

²

1970

BJOG

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“…Almost all gynecologists believe in performing vaginal hysterectomy with repair of the pelvic floor in cases of genital prolapse occurring in the group of women more than 40 years of age (3,6,7,18) which forms the majority of prolapse cases. However, opinions vary regarding the treatment of genital prolapse in young women, particularly in those who want more children.…”

Section: Discussion a N D Conclusionmentioning

confidence: 99%

The Place of Sling Operations in Treating Genital Prolapse in Young Women

Chaudhuri¹

1979

Intl J Gynecology & Obste

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A review of 260 cases of genital prolapse in women less than 35 years of age is presented. Thirty‐six percent of the women were less than 25 years old, and 73.5% were less than 30 years. Until 1965, a total of 85 patients had undergone either Manchester operations or simple colporrhaphies after a conventional method of treatment. Since then, a different surgical approach was elected, and patients were divided into four groups according to the severity of their conditions and the types of operation required. The abdominal sling operation was performed on 110 patients, and the vaginal sling operation was performed on 18 women. Other patients had Manchester operations or simple colporrhaphies.

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Vaginal Hysterectomy

Cited by 32 publications

References 8 publications

Late Results in Vaginal Hysterectomy

Late Results in Vaginal Hysterectomy

Uterine Disease After the Manchester Repair Operation

The Place of Sling Operations in Treating Genital Prolapse in Young Women

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