Vaginal hysterectomy

Sheth, Shirish S.

doi:10.1016/j.bpobgyn.2005.01.011

Cited by 35 publications

(25 citation statements)

References 45 publications

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“…6 Transvaginal removal of adnexa was not found to be associated with increased rate of complications. 2,3,5,7 Neither was it shown to significantly increase the operative time. 8 The main complication that was cited in the literature was incomplete removal of the ovarian tissue.…”

Section: Discussionmentioning

confidence: 80%

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Small Bowel Obstruction After Vaginal Hysterectomy with Bilateral Salpingo-oophorectomy

Palatnik

Hopp

Hoogerland

2012

Journal of Gynecologic Surgery

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Background: Removal of adnexa at the time of vaginal hysterectomy (VH) is a feasible procedure in properly selected patients. Small bowel obstruction was not found to be reported as a complication of this procedure. Case: A 61-year-old woman underwent a VH with bilateral salpingo-oophorectomy (BSO) for persistent cervical intraepithelial neoplasia grade 3. On postoperative day 7 she presented with small bowel obstruction that did not resolve with conservative management. During the repeat operation, a hematoma was visualized at the right pelvic side wall where ovarian vessels had been ligated with adhesion to the terminal ileum. Results: The small bowel stuck to the hematoma was released, and the patient underwent an appendectomy. The dilated small bowel was emptied into the stomach and aspirated via nasogastric tube. The patient tolerated the procedure and had an uneventful postoperative course. Conclusions: Small bowel obstruction is a rare complication of VH with BSO, but can occur in association with hematoma formation on the pelvic side wall at the time of the surgery. ( J GYNECOL SURG 28:372)

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Section: Discussionmentioning

confidence: 80%

“…3 Long-term complications are vault prolapse or evisceration and formation of a fistula. 3 The incidence of bowel injury is very low with VH, but might include injury to the rectum, or laceration of a small bowel. 4 Ureteric injury is also rare.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction After Vaginal Hysterectomy with Bilateral Salpingo-oophorectomy

Palatnik

Hopp

Hoogerland

2012

Journal of Gynecologic Surgery

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“…Reported rates of hemorrhage range from 1.4% to 2.6% in vaginal hysterectomy. 38 In a series of 1000 vaginal hysterectomies, no bowel injury was noted. 34 The incidence of bowel injury is low.…”

Section: Intraoperative Complicationsmentioning

confidence: 98%

Vaginal Hysterectomy for Benign Disease Without Prolapse

Kulkarni

Rogers

2010

Clinical Obstetrics &Amp; Gynecology

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Vaginal hysterectomy was the first minimally invasive surgical approach for benign gynecologic conditions. Recently a number of other approaches for hysterectomy have been introduced, yet when compared with vaginal hysterectomy these approaches do not offer significant benefit for similar indications. The focus of this chapter is to provide comprehensive review of vaginal hysterectomy for the practicing clinician.

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“…Since then, vaginal access has been the privilege of the gynaecological surgeon. According to the data collected by the Center for Disease Control in the USA [9,10] the mortality rate for a vaginal hysterectomy-excluding cancer patients or obstetrical chaos situations-is 2.7/10,000 compared to 8.6/10,000 for an abdominal hysterectomy.…”

Section: Vaginal Hysterectomymentioning

confidence: 99%

Sun beams on hysterectomies

2011

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Are hysterectomies still necessary in 2010 and why and how should they be performed? As every now and then a critical evaluation of routine surgical procedure is necessary, there it is: This review follows the "Perspectives on laparoscopic hysterectomy" by Michelle Nisolle (Gynecol Surg 7:105-107, 2010). Hysterectomies performed in the field of obstetrics and gynaecology until the nineteenth century had always a lethal end. In the twentieth century, they were perhaps too frequently performed whereas the twenty-first century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies have made the procedure more patient-friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies, and the vaginal approach is still the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery with multiple and single port entries. Laparoscopic and roboticassisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of menometrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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Vaginal hysterectomy

Cited by 35 publications

References 45 publications

Small Bowel Obstruction After Vaginal Hysterectomy with Bilateral Salpingo-oophorectomy

Small Bowel Obstruction After Vaginal Hysterectomy with Bilateral Salpingo-oophorectomy

Vaginal Hysterectomy for Benign Disease Without Prolapse

Sun beams on hysterectomies

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