Skip header and navigation

Refine By

15 records – page 1 of 2.

[Case of cesarean section and subsequent supravaginal removal of the hemorrhaging uterus]

https://arctichealth.org/en/permalink/ahliterature27820
Source
Pediatr Akus Ginekol. 1976 Jul-Aug;(4):61-2
Publication Type
Article

Changing hysterectomy technique from open abdominal to laparoscopic: new trend in Oslo, Norway.

https://arctichealth.org/en/permalink/ahliterature79168
Source
J Minim Invasive Gynecol. 2007 Jan-Feb;14(1):74-7
Publication Type
Article
Author
Istre Olav
Langebrekke Anton
Qvigstad Erik
Author Affiliation
Department of Obstetrics and Gynecology, Ullevål University Hospital, University of Oslo, Oslo, Norway. post@oistre.com
Source
J Minim Invasive Gynecol. 2007 Jan-Feb;14(1):74-7
Language
English
Publication Type
Article
Keywords
Female
Hospitals, University - statistics & numerical data
Humans
Hysterectomy - methods - trends - utilization
Laparoscopy - trends - utilization
Myoma - surgery
Norway
Retrospective Studies
Uterine Neoplasms - surgery
Abstract
STUDY OBJECTIVE: To evaluate the change in hysterectomy technique. DESIGN: Retrospective study (Canadian Task Force classification XXX). SETTING: University tertiary referring center in Norway. PATIENTS: A total of 1963 women treated with hysterectomy over a 5-year period in Oslo. INTERVENTIONS: The operative records and techniques were investigated in all treated patients. MEASUREMENTS AND MAIN RESULTS: A total of 1963 hysterectomies were performed from 2001 through 2005. The operative patient records were investigated with the main focus on indication for surgery and the technique used in the operative procedure. In 2001, 62 (17.7%) laparoscopic hysterectomies were performed, while 256 (73.1%) of the hysterectomies were done with laparotomy. The operative technique has gradually changed during the last 5 years. In 2005, 220 (53.5%) of the surgical procedures were laparoscopic, 177 (43.1%) were done by laparotomy, while the vaginal approach in all these years was less than 10%. CONCLUSION: From 2001 to 2005, a trend shift of the operative technique has been observed in Oslo, increasing the endoscopic hysterectomy rate from approximately 18% to 54%. During the same time, enlarged uteri with myomas equivalent to 10 to 12 weeks' gestation and endometrial cancer were more often treated by laparoscopic hysterectomy instead of open abdominal hysterectomy. With modern equipment and trained staff, more routine hysterectomies can be managed with laparoscopy.
PubMed ID
17218234 View in PubMed
Less detail

Consumer's attitude to hysterectomy. The experience of 678 women.

https://arctichealth.org/en/permalink/ahliterature24488
Source
Acta Obstet Gynecol Scand. 1992 Apr;71(3):230-4
Publication Type
Article
Date
Apr-1992
Author
J. Nathorst-Böös
T. Fuchs
B. von Schoultz
Author Affiliation
Karolinska Institutet, Department of Obstetrics and Gynecology, Danderyd Hospital, Sweden.
Source
Acta Obstet Gynecol Scand. 1992 Apr;71(3):230-4
Date
Apr-1992
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health
Coitus
Dysmenorrhea - surgery
Endometriosis - surgery
Female
Humans
Hysterectomy - psychology
Leiomyoma - surgery
Middle Aged
Patient satisfaction
Postoperative Complications - psychology
Research Support, Non-U.S. Gov't
Sweden
Uterine Neoplasms - surgery
Abstract
A total of 678 women were interviewed about symptoms before as well as advantages and disadvantages after abdominal hysterectomy. Medical complications, side effects, days of hospitalization and some possible differences between supravaginal hysterectomy (SVH) and total hysterectomy (TH) were also investigated. TH had been performed in 79% and SVH in 21% of the women. Leiomyoma was the most frequent diagnosis (79%). Heavy menstrual bleeding and dysmenorrhea were the dominant symptoms before surgery. After the operation, 71% of the women had no subjective gynecological complaints. Relief from heavy bleeding and pain was considered the major advantage and as many as 29% of the women experienced no disadvantage at all with the operation. Regarding sexual life, 39% experienced intercourse as much improved or better and 40% as unchanged. An intraabdominal abscess was more often found postoperatively in patients operated with TH than with SVH but with this exception no objective finding favoured one method more than the other. When new, alternative treatments such as endometrial ablation and GnRH analogues are introduced and promoted they should be subjected to careful evaluation and compared with the therapeutic efficacy of hysterectomy.
PubMed ID
1317649 View in PubMed
Less detail

[Course and management of labor in the presence of a submucosal myomatous node]

https://arctichealth.org/en/permalink/ahliterature28247
Source
Pediatr Akus Ginekol. 1973;6:61-2
Publication Type
Article
Date
1973

Danish gynecologists' opinion about hysterectomy on benign indication: results of a survey.

https://arctichealth.org/en/permalink/ahliterature18700
Source
Acta Obstet Gynecol Scand. 2002 Dec;81(12):1123-31
Publication Type
Article
Date
Dec-2002
Author
Helga Gimbel
Bent Ottesen
Ann Tabor
Author Affiliation
Department of Gynecology and Obstetrics, Hvidovre Hospital, Kettegårds alle 30, 2650 Hvidovre, Denmark. helga@dadlnet.dk
Source
Acta Obstet Gynecol Scand. 2002 Dec;81(12):1123-31
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude of Health Personnel
Climacteric
Denmark
Female
Gynecology - trends
Health Care Surveys
Humans
Hysterectomy - utilization
Leiomyoma - surgery
Middle Aged
Ovariectomy
Pelvic Pain - surgery
Physician's Practice Patterns - statistics & numerical data
Research Support, Non-U.S. Gov't
Uterine Neoplasms - surgery
Abstract
AIMS: To survey Danish gynecologists' recommendations concerning hysterectomy and its method for benign diseases. METHODS: A questionnaire of seven clinical cases was sent to all gynecologists in Denmark (n = 450). The gynecologists were asked to recommend one of 14 possible treatments as the most appropriate for each case. In cases of hysterectomy the gynecologists were asked to rate the appropriateness of oophorectomy. Questions about age, employment, geographic area, sex of the gynecologist and preference of the hysterectomy method for themselves/their wives were included. RESULTS. THE RESPONSE RATE WAS: 73%. For women aged > or = 50 years meno-metrorrhagia and symptomatic fibroids seemed to be important for hysterectomy recommendations, and for those aged
PubMed ID
12519108 View in PubMed
Less detail

Effect of surveillance on the number of hysterectomies in the province of Saskatchewan.

https://arctichealth.org/en/permalink/ahliterature249840
Source
N Engl J Med. 1977 Jun 9;296(23):1326-8
Publication Type
Article
Date
Jun-9-1977
Author
F J Dyck
F A Murphy
J K Murphy
D A Road
M S Boyd
E. Osborne
D. De Vlieger
B. Korchinski
C. Ripley
A T Bromley
P B Innes
Source
N Engl J Med. 1977 Jun 9;296(23):1326-8
Date
Jun-9-1977
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Female
Humans
Hysterectomy - methods
Middle Aged
Pregnancy
Saskatchewan
Sterilization, Reproductive
Uterine Diseases - surgery
Uterine Neoplasms - surgery
Utilization Review - utilization
Abstract
In 1972 the College of Physicians and Surgeons of Saskatchewan appointed a committee to study hysterectomies because the Saskatchewan Department of Health had data showing that the annual number of hysterectomies carried out in the province had increased by 72.1 per cent between 1964 and 1971, whereas the number of women over 15 years of age had increased by 7.6 per cent. The committee compiled a list of indications for hysterectomy. Any hysterectomy carried out for one of these reasons was classified as justified, and the remainder as unjustified. Five hospitals were reviewed in 1970 and a further two in 1973. In 1974, all seven hospitals were reviewed again. In these hospitals, the average proportion of unjustified hysterectomies had dropped from 23.7 per cent at the time of the first review to 7.8 per cent in 1974. The total number of hysterectomies in the province dropped by 32.8 per cent between 1970 and 1974.
PubMed ID
870826 View in PubMed
Less detail

[Experience of regional cryosurgical center affiliated with the department of obstetrics and gynecology of Odessa Medical Institute]

https://arctichealth.org/en/permalink/ahliterature27095
Source
Akush Ginekol (Mosk). 1982;(8):50-1
Publication Type
Article
Date
1982

[Hysterectomy in Denmark. An analysis of postoperative hospitalization, morbidity and readmission]

https://arctichealth.org/en/permalink/ahliterature18837
Source
Ugeskr Laeger. 2002 Sep 23;164(39):4539-45
Publication Type
Article
Date
Sep-23-2002
Author
Charlotte Møller
Henrik Kehlet
Jan Utzon
Bent S Ottesen
Author Affiliation
Center for Evaluering og Medicinsk Teknologivurdering, Islands Brygge 67, postboks 1881, DK-2300 København S.
Source
Ugeskr Laeger. 2002 Sep 23;164(39):4539-45
Date
Sep-23-2002
Language
Danish
Publication Type
Article
Keywords
Carcinoma in Situ - surgery
Denmark - epidemiology
English Abstract
Female
Follow-Up Studies
Humans
Hysterectomy - adverse effects - methods - utilization
Hysterectomy, Vaginal - adverse effects - methods - utilization
Incidence
Length of Stay - statistics & numerical data
Patient Readmission - statistics & numerical data
Postoperative Complications - diagnosis - epidemiology
Practice Guidelines
Quality Assurance, Health Care
Registries
Uterine Neoplasms - surgery
Abstract
INTRODUCTION: The aim of this study was to demonstrate the incidence of "standard" hysterectomy in Denmark, including surgical route, postoperative hospitalisation, morbidity, mortality, and readmission rate within 30 days. MATERIAL AND METHODS: We analysed data from the Danish National Patient Register over a two-year period (1998-2000) on hysterectomies for benign indications, carcinoma in situ cervicis uteri, and cancer corporis uteri stage 1. A stratified sample of 821 discharge résumés was reviewed for detection of complications. RESULTS: Over the two-year period, 10,171 women had "standard" hysterectomies followed by a median postoperative hospitalisation of four days. In departments performing more than 100 operations per year, the median hospital stay varied from three to 5.5 days. Eighty per cent of the hysterectomies were abdominal, 6% laparoscopically assisted, and 14% vaginal with marked regional variation in the choice of surgical approach. The number of vaginal hysterectomies varied from 0 to 67% in departments with a surgical activity of more than 100 per year. Eight per cent were readmitted within 30 days of the operation and the mortality rate was 0.6@1000. Extrapolation from the random sample to the entire population gives an estimated complication rate of a minimum of 18%. DISCUSSION: "Standard" hysterectomy in Denmark is associated with considerable morbidity and marked regional variation in the choice of surgical approach. The present study emphasises the need for a national hysterectomy database with the possibility of evaluating surgical activity, reducing morbidity rates, and developing homogeneous guidelines.
Notes
Comment In: Ugeskr Laeger. 2002 Nov 11;164(46):5404-5; author reply 540512469392
PubMed ID
12380398 View in PubMed
Less detail

Laparoscopic hysterectomy. Initial experience.

https://arctichealth.org/en/permalink/ahliterature24489
Source
Acta Obstet Gynecol Scand. 1992 Apr;71(3):226-9
Publication Type
Article
Date
Apr-1992
Author
A. Langebrekke
O J Skår
A. Urnes
Author Affiliation
Department of Obstetrics and Gynecology, Central Hospital of Akershus, Nordbyhagen, Norway.
Source
Acta Obstet Gynecol Scand. 1992 Apr;71(3):226-9
Date
Apr-1992
Language
English
Publication Type
Article
Keywords
Adult
Dysmenorrhea - surgery
Female
Humans
Hysterectomy - methods
Laparoscopy
Leiomyoma - surgery
Middle Aged
Norway
Uterine Neoplasms - surgery
Abstract
Laparoscopic hysterectomy is now being performed in our department in cases where no malignancy is suspected. This study presents the first 10 cases. Indications for hysterectomy were myomas, meno- and metrorrhagia resistant to medical and hysteroscopic treatment, and patients with pain and suspicion of having adenomyosis. No complications have been encountered during the laparoscopic operations, but one patient had a second laparoscopy on the first postoperative day due to postoperative bleeding. Another patient had a postoperative infection leading to a compression of the ureter. This report demonstrates that laparoscopic hysterectomy is a valuable addition to the new procedures in 'minimal invasive surgery', but only after long and appropriate training.
PubMed ID
1317648 View in PubMed
Less detail

15 records – page 1 of 2.