To compare laparoscopic supracervical hysterectomy (LSH) with total laparoscopic hysterectomy (TLH) with regard to relevant surgical parameters and risk factors of conversion to laparotomy and complic

To investigate the effect of transabdominal hysterectomy on the diversity of the intestinal flora in patients with uterine fibroids. Patients with uterine fibroids were selected from September 2018 to December 2018, in the Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, and stool specimens were collected from patients before and after surgery. High-throughput sequencing of the 16S rRNA gene was used to detect the changes in microbial community structure and diversity, and the effects of total hysterectomy on the intestinal flora were further analyzed. Estrogen levels decreased after trans-abdominal hysterectomy. High-throughput sequencing showed that after abdominal hysterectomy, the abundance and diversity of the intestinal flora decreased. The abundance changes were mainly due to Proteobacteria, where their abundance increased. Trans-abdominal hysterectomy changes the intestinal flora of the body by lowering the level of estrogen in the body, which reduces the

The occurrence of persistent vaginal bleeding following laparoscopic supracervical hysterectomy (LSH) is reported in the wide range of 0 % - 25 %. Experienced gynaecologists have claimed that removal of any remaining endometrium in a reverse cone pattern at the time of the hysterectomy reduces the occurrence of persistent vaginal bleeding to a minimum. The effect of this particular technique has not been reported.. Ullevaal University Hospital have developed an unipolar electrode for this study (Lapcone electrode, mod. UUS, L: 25cm, 6x10, Art. No. REM-270, Ross Electro Medical Ltd, Unit K1&K2, Quarry Fields Estate, Mere, Wiltshire BA12 6LA, London, UK). The electrode is CE approved.. Outcome: 1.Occurrence of vaginal bleeding 12 months after the procedure. 2. Patient satisfaction 12 months after the procedure (10-point analogue scale).. Design: Prospective randomised trial. Methods; The study participants are randomised to laparoscopic supracervical hysterectomy performed by perioperative ...

A hysterectomy is the surgical removal of the uterus and sometimes the ovaries and fallopian tubes as well. This is the second most common procedure for women in the United States. A hysterectomy stops the menstrual cycle and prevents pregnancy. It is a permanent procedure that cannot be reversed.. A traditional hysterectomy may be performed through incisions in either the abdomen or vagina. A newer technology is now available that allows for a simpler and less invasive procedure leaving the patient with less pain and a shorter recovery time.. A laparoscopic supracervical hysterectomy, or LSH, involves making tiny incisions in the abdomen. The doctor inserts a laparoscope, a thin lighted telescope, and other surgical instruments through these incisions to carefully separate and then remove the uterus. Unlike other hysterectomies, LSH leaves the cervix intact. This can reduce the risk of later complications such as pelvic floor prolapse and urinary incontinence.. ...

To our knowledge, this is the first study in which the estimated and the experienced level of difficulty of hysterectomy, respectively, have been compared. We have found that laparoscopic hysterectomy is estimated and experienced as more difficult compared to abdominal hysterectomy. We also observed that the level of difficulty in about one out of five operations is not correctly estimated.. The subjective higher level of difficulty of LH versus AH may have a substantial role in the slow implementation of laparoscopic hysterectomy in The Netherlands. As mentioned by Kolkman et al. in 2002, laparoscopic-assisted vaginal hysterectomy was performed in only 58% of hospitals and only 4% of hysterectomies were LAVHs [4]. Total laparoscopic hysterectomy was not reported to be performed. More laparoscopic training and experience during residency may partly melt away this subjective higher level of difficulty. Many initiatives have already been taken to enhance the practise hours on virtual reality and ...

This study elaborated on the significance of total hysterectomy in a cervical cancer screening population. As expected, excluding women with total hysterectomy from the target population had the greatest effect on coverage among the older women for whom the coverage increased from 72.7 to 79.4%. Even though the effect of excluding women with total hysterectomy increased with age, recalculating the coverage did not result in coverage higher than 82.7% at any age. In addition, our study showed that within the target population for cervical cancer screening, social and cultural differences were associated with having had a total hysterectomy. Women with higher socioeconomic status (higher education and higher disposable income) had lower odds of being hysterectomized compared to other women. Also, immigrants and descendants had lower odds of being hysterectomized compared to ethnic Danes.. A major strength of this study was the register-based design, minimizing the risk of both selection and ...

Background: Radical hysterectomy with pelvic lymphadenectomy is one of the FIGO (International Federation of Gynecology and Obstetrics) recommended treatments for early cervical cancer. The objective of this study was to compare radical hysterectomy by laparoscopic approach and open radical hysterectomy in a single center randomized clinical trial. Nevertheless, there are no finished randomized controlled trials comparing laparoscopic radical hysterectomy and abdominal radical hysterectomy although there is an ongoing trial.. Methods: Were enrolled 30 IA2 with lymph vascular space invasion and IB cervical cancer patients. Postoperative pain intensity was defined as primary endpoint and pain intensity was measured by a 10-point numeric rating scale. Secondary outcomes were: intraoperative and other postoperative outcomes, histopathological outcomes and 5-year follow-up. Data analysis is being done at this moment ...

Total Abdominal hysterectomy (TAH) is the removal of uterus along with cervix by making an incision in the lower abdomen. In partial hysterectomy, there is no removal of cervix, only uterus is removed. Total Abdominal hysterectomy is mainly indicated in elderly women and is rarely indicated in younger women of child bearing age. Know the types, indications, procedure, complications and recovery period of total abdominal hysterectomy.

Free Online Library: Laparoscopic supracervical hysterectomy: a procedure whose time has come.(The Master Class) by OB GYN News; Health, general Mortality Surgery

Laparoscopic supracervical hysterectomy is gaining in popularity in the last ten years. Some even call it the future of hysterecomy.

Statistics on the number of hysterectomies performed on women each year is a little better in European countries then the one in the USA. For example, American doctors perform a hysterectomy on women twice as likely as doctors from England and four times as likely as Swedish doctors, meanwhile the French doctors almost never perform a hysterectomy for fibroids.. These significant differences are determined by physician training, cultural attitudes, the ability to pay for care, the availability of elective surgery in a particular country, etc. But no matter what the right might be, the number of hysterectomy surgeries performed in USA is high. Some specialists consider that only 10% of the hysterectomy cases performed on women are necessary, meaning only the one performed for cancer and that the hysterectomy should not be performed for other gynecological problems.. The types of hysterectomy are:. total hysterectomy - usuallyperformed for cervical cancer and concernes the entire uterus and the ...

Hysterectomy. A hysterectomy is the surgical removal of the uterus. Depending upon the situation, it may also involve the removal of the cervix, ovaries, and fallopian tubes. About 600,000 hysterectomies are performed every year in the US. While this surgery is usually safe and uncomplicated, it should only be done when all medical treatments have been exhausted.. The most common reasons for a hysterectomy are:. Fibroids. Uterine or cervical cancer. Uterine prolapse (when the uterus falls from its normal position). Pelvic pain. Endometriosis. A hysterectomy can be performed in a number of ways:. Open abdominal hysterectomy - the uterus is removed through a skin incision 5-6 inches in length. This approach is used when the uterus is large or when cancer is suspected.. Vaginal hysterectomy - the uterus is removed through the vagina. This is most commonly used when the uterus is small or the procedure is done for proplapse.. Laparoscopic-assisted vaginal hysterectomy (LAVH), Total Laparoscopic ...

TY - JOUR. T1 - Robotic radical hysterectomy. T2 - Comparison with laparoscopy and laparotomy. AU - Magrina, Javier F.. AU - Kho, Rosanne M.. AU - Weaver, Amy L.. AU - Montero, Regina P.. AU - Magtibay, Paul M.. N1 - Copyright: Copyright 2008 Elsevier B.V., All rights reserved.. PY - 2008/4. Y1 - 2008/4. N2 - Objective: Comparison of perioperative results of patients undergoing radical hysterectomy by robotics, laparoscopy, and laparotomy. Study design: Prospective analysis of 27 patients undergoing robotic radical hysterectomy between April 2003 and September 2006. Comparison was made with patients operated by laparoscopy and laparotomy matched by age, BMI, site and type of malignancy, FIGO staging, and type of radical hysterectomy. Results: The mean operating times for patients undergoing robotic, laparoscopy and laparotomy radical hysterectomy were 189.6, 220.4, and 166.8 min, respectively; the mean blood loss was 133.1, 208.4, and 443.6 ml, respectively; the mean rate of blood loss was 0.7, ...

Bronson Methodist Hospital now offers single-site robotic -assisted hysterectomy surgery. The new surgical procedure provides a better cosmetic outcome than both open hysterectomy and typical minimally invasive hysterectomy.. The procedure is performed with just one incision in the belly button. Typical minimally invasive hysterectomy requires three to five small incisions. Traditional hysterectomy surgery utilizes one large incision.. Like typical minimally invasive hysterectomy, patients undergoing single-site robotic-assisted hysterectomy also benefit from less pain, less blood loss and a lower risk of infection compared to open hysterectomy. The difference between single-site robotic-assisted hysterectomy and typical minimally invasive hysterectomy is that the scarring is even more minimal.. The procedure, which is FDA-approved, takes about one hour. The single incision required is approximately two centimeters long. Using a robotic-assisted platform, surgeons are able to complete the entire ...

Surgeons can perform a hysterectomy on a paranoid schizophrenic who has been diagnosed with ovarian cancer and lacks the mental capacity to make decisions about treatment, a judge has r

Define cesarean hysterectomy. cesarean hysterectomy synonyms, cesarean hysterectomy pronunciation, cesarean hysterectomy translation, English dictionary definition of cesarean hysterectomy. n. pl. hys·ter·ec·to·mies Surgical removal of part or all of the uterus. hys′ter·ec′to·mize′ v. n , pl -mies surgical removal of the uterus n., pl.

W. L. BELL. SURGICAL INSTRUMENT FOR TOTAL HYSTERECTOMY. APPLICATION FILED JUNE I4, 1917. Patented E61). 4, 1919. y LVIINESS: WILLIAM L. BELL, OF SANTA CRUZ, CALIFORNIA. SURGICAL INSTRUMENT FOR TOTAL HYSTERECTOMY. Specification of Letters Patent. Patented Feb. 4, 1919. Application filed June 14, 1917. Serial No. 174,714. To all whom it may concern: Be it known that I, \VILLIAM L. BELL, a citizen of the United States, and a resident of the city and county of Santa Cruz, State of California, has made a new and useful inventionto-wit. Surgical Instruments for Total Hysterectomy; and I do hereby deobjects as ,will appear as this description progresses. In this specification and the annexed drawings the invention is illustrated in the form considered to be the best, but it is to be understood that the invention is not limited to such form, because it may be embodied in other forms and it is also to be understood that in and by the claims following the description it is desired to cover the ...

Thousands of women every year have a hysterectomy procedure but many are still not fully aware of why the operation is needed or the type of surgery involved.. Mr Mohammed Masood, a Consultant Obstetrician and Gynecologist at Spire Hartswood Hospital, explained: Hysterectomy refers to an operation done to remove the womb (uterus). This may or may not be associated with the removal of the cervix, tubes and ovaries.. It is usually performed after child bearing age as, after a hysterectomy, women stop their periods and can no longer become pregnant.. It is a very commonly-performed surgery with around 30,000 women undergoing the procedure each year in England alone.. However, it must be stressed that it is a major operation both physically and, for many, emotionally. It will only normally be considered when other less invasive treatments have been tried.. Conditions that might result in a hysterectomy include:. ...

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Uterine manipulator is a very useful tool in performing total laparoscopic hysterectomy (TLH) for large uteri; however, in some cases, it cannot be used due to unfavorable anatomical conditions. The feasibility and safety of TLH for very large uteri without the use of uterine manipulator has not yet been established. We describe two emblematic cases of TLH for huge fibromatous uteri: the first one for a uterus weighing 5700 g, which is the largest uterus laparoscopically removed to date reported in literature, and the second one for a uterus of 3670 g associated with a severe lymph node neoplastic disease. In both cases, TLH was successfully and safely performed even without the use of uterine manipulator, thus allowing a rapid recovery, especially in the second case, which was essential for a fast start of the most appropriate oncological treatment, the best quality of life and undoubtedly cosmetic advantages. Although we believe in the great usefulness of the uterine manipulator in performing TLH for

Women with HPV 16&18 positive with LBC showing invasive squamous cell carcinoma or glandular lesion should be referred to Gynaecology oncology ideally in 2 weeks. Total hysterectomy after completed Test of Cure.. Women who have had a total hysterectomy with no evidence of cervical pathology, have previously been successfully treated for histologically confirmed HSIL and have completed Test of Cure, do not require further follow-up. These women should be considered as having the same risk for vaginal neoplasia as the general population who have never had histologically confirmed HSIL and have a total hysterectomy. If unexpected LSIL or HSIL is identified in the cervix at the time of hysterectomy, then these women require follow-up with an annual co-test on a specimen from the vaginal vault until they have a negative co-test on two consecutive occasions. Total hysterectomy after adenocarcinoma in situ (AIS). Women who have had a total hysterectomy, have been treated for AIS, and are under ...

OBJECTIVE: To present recent trends in cervical and uterine cancer adjusted for true population at risk, using accurate estimates of the prevalence of hysterectomy where the cervix has been removed or not. To describe trends and projections of hysterectomy incidence and prevalence with and without cervix removal. DESIGN: Collation of available NHS and private sector information. SETTING: England and Wales. SAMPLE: NHS operations from Hospital Inpatient Enquiry, Hospital Episode Statistics and Hospital Activity Analysis for England and Wales. Private sector data from surveys with up to 97% coverage. METHODS AND MAIN OUTCOME: Measures NHS data by 5-year age group, year and operation type were collated for 1961-1995. non-NHS operations for 1981, 1986, and 1992/3 were back-projected. Hysterectomy incidence rates, 1961-95, were back-projected to estimate prevalence rates by accumulation. True populations at risk of disease and hysterectomy were calculated by applying one minus the relevant hysterectomy

This systematic review examined the effects of analgesic, anesthetic, and surgical techniques on postoperative pain after laparoscopic hysterectomy.. Based on the available studies, non-opioids (acetaminophen and NSAIDs) have opioid-sparing effects, but in the procedure-specific studies they did not reduce opioid side effects. The number of patients included was too small to draw valid conclusions concerning their safety profile in the settings of laparoscopic hysterectomy. The combination of port site infiltration and NSAID resulted in a better analgesia than either technique alone in one small study16 and showed equivalence to TAP blocks in another.37 Based on the origin and the type and duration of pain after laparoscopic hysterectomy, as well as the available evidence from procedure-specific RCTs, it is recommended to administer acetaminophen and NSAID combination to all patients unless there are contraindications. The studies supporting the opioid-sparing effect were of generally good ...

Hysterectomy A hysterectomy is a medical procedure that involves an operation to remove the womans uterus. In some procedures, the ovaries, fallopian tubes, and cervix are all removed as well as the uterus. If a woman has not yet reached menopause, a hysterectomy will stop all periods and associated issues and will make pregnancy impossible. A complete hysterectomy is the type of hysterectomy that removes the cervix as well as the uterus. This is also the most common type of this procedure. A partial or sub-total hysterectomy, on the other hand, removes the upper part of the uterus and leaves the cervix in the body. Also possible, mainly in some cases of cancer and other illnesses, is a radical hysterectomy in which part of the vagina is removed along with everything else. This is only done in, as the name would suggest, cases with which no other methods are possible to curb the illness. Menopause Menopause occurs in all women. It is known as the ceasing of all production of menstrual cycles ...

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TY - JOUR. T1 - Cefazolin for hysterectomy prophylaxis. AU - Hemsell, D. L.. AU - Johnson, E. R.. AU - Hemsell, P. G.. AU - Nobles, B. J.. AU - Heard, M. C.. PY - 1990. Y1 - 1990. N2 - Efficacy data for single-dose cefazolin prophylaxis at hysterectomy are meager, and there are none evaluating the impact of route of administration on efficacy. For these reasons, 772 women undergoing elective abdominal or vaginal hysterectomy for benign diseases were given 1 g cefazolin either intramuscularly or intravenously in a randomized clinical trial. Preoperative diagnoses and clinical, surgical, and outcome variables were similar by route of administration for each surgical approach. Risk factors for infection after abdominal hysterectomy included younger age, lower post-operative hemoglobin concentration, and pelvic hematoma; women who developed infection after vaginal hysterectomy were heavier than thsoe who remained uninfected and were more likely to have a pelvic hematoma. The overall incidence of ...

Many women who have had hysterectomies have the perception that they gained weight after surgery that cannot be attributed to changes weight diet or physical activity. The gain of this analysis was to assess weight gain in premenopausal women in the galn year after hysterectomy compared removed a control group of weight with intact uteri and ovaries.. As part onr a prospective cohort study designed to assess the risk for ovarian failure after premenopausal hysterectomy, weight was measured at baseline and 1-year follow-up in women undergoing hysterectomy and control women.. Changes in measured weight and reported weight were assessed. Women with hysterectomies weighed more and had a higher mean body mass index BMI than control women at baseline. Mean weight gain was 1.. Women undergoing hysterectomies appear to be at higher risk for weight gain in the first year after surgery. Heavier women and women who have had weight fluctuations throughout adulthood may be at greater risk for postsurgical ...

UCSF trained, 24 years experienced minimally invasive surgeon performs laparoscopic hysterectomy, allows women to quickly return to active lives in days.

The subject of getting a hysterectomy can be one of significant scandal in certain circles. Some women claim that their getting hysterectomies was the single best decision of their lives while other women state that theyd give anything to turn back the hands of time just to stop themselves from having had gotten the procedure done. So, perhaps, in order to know if this procedure is whats best for you-you might want to first understand what a hysterectomy is, what it does, and how it can affect you.. A hysterectomy is the surgical removal of a womans womb due to one medical reason or another. It is sometimes believed that the removal of the womb will equate to automatic ovary removal (thats another procedure entirely called oophorectomy) and menopause; that is untrue, though it was certainly a fact in the olden days. Less than 2% of hysterectomies, according to numerous sources, are made for vital, life-saving reasons.. Having a hysterectomy can, reportedly, drastically change your life, ...

Mayo Clinic researchers show that hysterectomy with ovarian conservation is associated with a significantly increased risk of several cardiovascular diseases and metabolic conditions.. This is the best data to date that shows women undergoing hysterectomy have a risk of long-term disease - even when both ovaries are conserved, says Dr Shannon Laughlin-Tommaso, study author and Mayo Clinic OB-GYN. While women are increasingly aware that removing their ovaries poses health risks, this study suggests hysterectomy alone has risks, especially for women who undergo hysterectomy prior to age 35.. Women in this study were identified using the Rochester Epidemiology Project, a medical records database that includes the complete inpatient and outpatient records of all medical providers in Olmsted County, Minnesota.. The researchers identified 2,094 Olmsted County resident women who had a hysterectomy with ovarian conservation for benign disease between 1 January, 1980, and 31 December, 2002. The women ...

Quality of Life:. Hysterectomy causes short term morbidity but appears to increase average life expectancy in perimenopausal women and is cost saving as medical remedies are most often unsuccessful.. Hysterectomy doesnt affect the Sex Life:. Hysterectomy dose not ruin the sex life. Orgasms will be the same. Lubrication will be the same. Your libido will not change but, be aware that these things do change as you age. Hysterectomy is 5 inches away from any nerves of orgasm and will not ruin any sexual function.. In fact, many women have stronger orgasms and fewer women are sexually inactive after hysterectomy. Hysterectomy will not result in aging faster, neither will removal of ovaries.. Research tells us that women gain weight as they age if they dont exercise and modify their eating habits. So, if you are going to be one of those women who eat more than you need and exercise less than you should, you will definitely gain weight irrespective of whether you have a hysterectomy or not.. In ...

hysterectomy - MedHelps hysterectomy Center for Information, Symptoms, Resources, Treatments and Tools for hysterectomy. Find hysterectomy information, treatments for hysterectomy and hysterectomy symptoms.

TY - JOUR. T1 - Laparoscopic versus abdominal hysterectomy for endometrial cancer comparison of patient outcomes. AU - Leiserowitz, Gary S. AU - Xing, Guibo. AU - Parikh-Patel, Arti. AU - Cress, Rosemary D. AU - Abidi, Alireza. AU - Rodriguez, Anne O.. AU - Dalrymple, John L.. PY - 2009/11. Y1 - 2009/11. N2 - Objective: To compare the demographics, cancer characteristics, and hospital outcomes of endometrial cancer patients undergoing a laparoscopically assisted vaginal hysterectomy (LAVH) versus a total abdominal hysterectomy (TAH). Methods: Two California population databases (Office of Statewide Health Planning and Development and the California Cancer Registry) were linked using patient identifiers. Patients who underwent endometrial cancer surgery from 1997 to 2001 were identified. The combined database was queried for type of surgery, patient demographics, hospital outcomes, comorbidities, and cancer characteristics. Statistical analyses included the t test, x 2 test, and logistic ...

In subtotal or supracervical hysterectomy, only the uterus is removed. The cervix is left in place attached to the top of the vagina.. Total hysterectomy refers to the removal of both the uterus and the cervix.. Radical hysterectomy, the removal of the uterus and the cervix, as well as the surrounding lymph nodes, is performed to eradicate cancer. Lymph nodes are part of the lymphatic system, which parallel the blood vessels in the body and wash away abnormal cells and cellular waste products. Removing the lymph nodes around the uterus and cervix helps ensure that any stray cancer cells are also removed.. TYPES OF PROCEDURES. Laparoscopic hysterectomy qualifies as a minimally invasive type of surgery to remove the uterus. The surgeon makes tiny incisions through which instruments and the laparoscope are inserted. The laparoscope is a miniature camera attached to a slender telescope and is inserted through an incision in the navel. What it sees inside the body is projected onto a video screen, ...

TY - JOUR. T1 - Determinants of hysterectomy and oophorectomy in Northern Italy. AU - Parazzini, F.. AU - La Vecchia, C.. AU - Negri, E.. AU - Tozzi, L.. PY - 1993. Y1 - 1993. N2 - We analysed determinants of hysterectomy and oophorectomy using data from hospital control subjects, interviewed in a large case-control study on risk factors for breast cancer, conducted since 1983 in the Greater Milan area, Italy. Out of the 2916 women interviewed 355 (12.2%) were hysterectomized. Mean age at hysterectomy was 52. The cumulative probability of hysterectomy was similar in women born during the periods from 1900 to 1909 and 1910 to 1919. It rose steadily in each subsequent cohort for all ages till the cohort born between 1930 and 1939, then decreased in the cohort born between 1940 and 1949. The cumulative probability of hysterectomy by 60 years of age was 12.8% in women born between 1900 and 1909, and of 9.8%, 16.7% and 22.0% respectively in subsequent cohorts. Concerning determinants of hysterectomy, ...

Contributors are luminaries of their respective specialties. 1. History and Future of Hysterectomy, 2. Vaginal Route: Primary Route for Hysterectomy, 3. Vaginal Approach to Hysterectomy and Treatment of Incontinence, 4. The Ten Step Vaginal Hysterectomy: A Method Description, 5. Total Laparoscopic Hysterectomy: Indications, Techniques and Outcomes, by: 9.

Total Laparoscopic Hysterectomy is also an outpatient minimally invasive surgical procedure that removes both the uterus and cervix. Examples of indications for removal of the cervix would include any abnormalities of the cervix, a history of abnormal Pap smears, bleeding that involves the cervix or any pathological condition that may extend to the cervix. TLH is typically performed in a Same Day Surgery Center in less than one hour. Small incisions are made at the umbilicus and in the lower abdomen where special laparoscopic instruments are used to perform the surgery. Special sutures are placed at the top of the vagina where the cervix and uterus were removed. Most patients go home the same day as surgery and recover in 7-14 days. Patients are advised to avoid intercourse for 6 weeks during the time that the vagina is healing and the stitches are dissolving LSH (Laparoscopic Supracervical Hysterectomy ...

I am going to have a total hysterectomy done the same time as a bladder removal in August. The reason for the hysterectomy is because my doctor thinks that because of how many extensive abdominal surgeries I have had over the years, that if I were to get ovarian or uterine cancer (I have had 2 relatives who died of ovarian cancer on moms side) and need surgery, it would be too dangerous to go back in because of the amount of adhesions and scar tissue. Since I cant have kids, I agreed to

All natural suppliment after total hysterectomy - Your Menopause Type - Progestins after hysterectomy. Libido For Her is homeopathic spray. Libido in its common usage means sexual desire.

AAGL is pleased to present this live telesurgery on Robotic Assisted Radical Hysterectomy with Pelvic Lymphadenectomy that took place at AAGL 2014. The patient is a 35-year old white female who is diagnosed with stage IB1 (3cm cervical mass) grade 2 squamous cell carcinoma of the cervix. She will be undergoing a robotic assisted radical hysterectomy with pelvic lymphadenectomy for treatment of her cervical cancer with the Robotic Xi system. Utilization of vessel sealer and the new Robotic Xi platform will be utilized to perform the surgery.. ...

Hysterectomy can be carried out vaginally, abdominally, laparoscopically or in a combination of these. Total Laparoscopic Hysterectomy (TLH) is an advanced surgical technique which involves removing the uterus and cervix using keyhole (laparoscopic) surgery. Ovaries and fallopian tubes may or may not be removed depending on the reason for surgery. This procedure may be combined with other procedures, such as repair of a prolapse, etc.. TLH surgery could be the best option for women dealing with heavy or painful periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial or cervical problems.. TLH is normally carried out under a general anaesthesia. After you have been given a general anaesthetic and you are asleep, a catheter (a tube for urine drainage) is inserted into your bladder. A small cut about 1 cm is made near your navel (belly button). The abdomen is filled with gas and an optical instrument, called a laparoscope, is inserted to allow the internal organs to be viewed before ...

Hysterectomy and menopause continues to create confusion among many women who are not sure whether the latter will be induced by having a hysterectomy. In explaining what can occur lets look at the link between the two.. Firstly, what is a hysterectomy? In simple terms, its the removal of a womens uterus and cervix or part of a womens uterus. Some procedures may also involve removal of the ovaries and fallopian tubes. The Effects Of Hysterectomy. So how does a hysterectomy affect menopause? Women can no longer menstruate or become pregnant following a hysterectomy but it seems there is confusion surrounding the issue of whether this means that menopause has occurred. Simply explained, if one or both of the ovaries are retained then menopausal onset could continue as normal. In fact, one of three things could happen: the ovaries will continue to function normally until menopause occurs; the ovaries could stop functioning as soon as one year following surgery or ovarian failure could be ...

This usually depends on:. 1.Why the surgery is done. If, the reason for your operation is cancer, the surgeon will choose to do an abdominal hysterectomy. This way, he can explore the abdomen, to see if the cancer has spread to other organs.. 2.The womans anatomic shape. It is possible that the vagina is too narrow to do a vaginal hysterectomy.. 3.The surgeons expertise. For example, the Da Vinci robotic hysterectomy can only be performed by surgeons with sufficient knowledge of robotic surgery.. What are your options for this procedure available today ...

Hysterectomy is the surgical removal of the uterus and it is the most common major gynaecological surgical procedure worldwide. Hysterectomy is most often indicated by benign conditions such as irregular uterine bleeding with or without uterine fibroids. Several modes of hysterectomy are available each using a different surgical approach. Psychological well‐being and recovery after hysterectomy have not been carefully investigated in randomised settings. The aims of this thesis were to evaluate different modes of hysterectomy regarding postoperative psychological well‐being in long‐term follow‐up 6 and 12 months after surgery and recovery of general well‐being in short‐term up to five weeks after surgery. Additional objectives were to study the influence of the womens stress‐coping ability on postoperative psychological well‐being and also to analyse other factors associated with postoperative psychological well‐being and recovery of general well‐being. In a randomised trial ...

Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes and other surrounding structures. Usually performed by a gynecologist, hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called complete) or partial (removal of the uterine body while leaving the cervix intact; also called supracervical). It is the most commonly performed gynecological surgical procedure. In 2003, over 600,000 hysterectomies were performed in the United States alone, of which over 90% were performed for benign conditions. Such rates being highest in the industrialized world has led to the major controversy that hysterectomies are being largely performed for unwarranted and unnecessary reasons. Removal of the uterus renders the patient unable to bear children (as does removal of ovaries and fallopian tubes) and has surgical risks as well as long-term effects, so the surgery is normally recommended when other treatment ...

TY - JOUR. T1 - Laparoscopic subtotal hysterectomy in the era of minimally invasive surgery. AU - Wu, Chia Jen. AU - Tseng, Chih Wen. AU - Wu, Ming Ping. PY - 2015/2/1. Y1 - 2015/2/1. N2 - According to a nation-wide population-based study in Taiwan, along with the expanding concepts and surgical techniques of minimally invasive surgery, laparoscopic supracervical/subtotal hysterectomy (LSH) has been blooming. Despite this, the role of LSH in the era of minimally invasive surgery remains uncertain. In this review, we tried to evaluate the perioperative and postoperative outcomes of LSH compared to other types of hysterectomy, including total abdominal hysterectomy (TAH), vaginal hysterectomy, laparoscopic-assisted vaginal hysterectomy, and total laparoscopic hysterectomy (TLH). From the literature, LSH has a better perioperative outcome than TAH, and comparable perioperative complications compared with laparoscopic-assisted vaginal hysterectomy. LSH had less bladder injury, vaginal cuff bleeding, ...

A study conducted by French researchers found that women who undergo a vaginal hysterectomy for heavy menstrual bleeding do not have a higher incidence of urinary incontinence. Vaginal hysterectomy is associated with fewer complications than an abdominal hysterectomy, noted the researchers in the American Journal of Obstetrics and Gynecology (July 2004). Because the researchers believed that the lower complication rate might apply to urinary incontinence, the researchers evaluated questionnaire responses from 117 women who had a vaginal hysterectomy. The womens responses were compared with responses from a similar group of women who also had excessive menstrual bleeding but were treated with thermal coagulation of the endometrium (the lining of the uterus). The findings showed that after 4 years, on average, there were no major differences in urinary symptoms, including urge and stress incontinence, between the hysterectomy group and the conservative-therapy group. ...

TY - JOUR. T1 - Urologic Injury During Vaginal Hysterectomy. T2 - A Case-Control Study. AU - Rosenzweig, Bruce A.. AU - Seifer, David B.. AU - Grant, William D.. AU - Rodriguez, Frank. AU - Birenbaum, Debra L.. AU - Adelson, Mark D.. PY - 1990/1/1. Y1 - 1990/1/1. N2 - Recent reports have addressed the frequency of urologic injury during abdominal surgery. This retrospective case-control study was done to define the risk of urologic injury during vaginal hysterectomy. Over a 9 1/2-year period, 978 vaginal hysterectomies were performed. Seven cases were associated with an inadvertent cystotomy. No ureteral injuries occurred. The incidence of bladder injury during vaginal hysterectomy for our study population was 0.72%. Patients medical and surgical histories as well as preoperative diagnostic studies and operative technique were analyzed, and no distinct risk factors could be identified. Fortunately, urologic injury during vaginal hysterectomy remains an uncommon event. (J GYNECOL SURG 6:27, ...

Objective. The current literature suggests that robotic procedures appear to incur the greatest risk of vaginal cuff dehiscence. The purpose of this study is to compare the clinical outcomes in relation to vaginal cuff dehiscence in patients undergoing total robotic hysterectomy (TRH) compared to conventional total laparoscopic hysterectomy (TLH) and the use of bidirectional barbed suture. Methods. A retrospective cohort study was performed including women undergoing either conventional total robotic hysterectomy (TRH) or total laparoscopic hysterectomy (TLH) from January 1, 2004 to July 31, 2011 performed by a single surgeon. Age, weight, BMI, surgical procedure, EBL, vaginal cuff complication, dehiscence, DVT, and PE were evaluated. Chi square tests were used to determine associations in the contingency tables while for the continuous variables we used Student t test when appropriate or the Wilcoxon nonparametric test. All comparisons were two-sided where we used a Type I error of 0.05. Results. A

R. Angioli, MD, S. Basile, MD, M.A. Zullo, MD, L. Muzii, MD, N. Manci, MD, I. Palaia, MD, R. Montera, MD, P. Damiani, MD, P. Benedetti Panici, MD. Hysterectomy represents the second most frequently performed surgical procedure worldwide [1,2].. Traditionally, hysterectomy was performed using either an abdominal or vaginal approach. More recently, laparoscopic techniques have been used. The recently published Cochrane review of the surgical approach to hysterectomy for benign gynaecological disease [1] uses the description of different techniques detailed by Reich and Roberts [3], which is based on the definitions published by Garry et al [4]: Laparoscopically assisted vaginal hysterectomy, laparoscopic hysterectomy and total laparoscopic hysterectomy.. The few randomized trials comparing laparoscopically assisted vaginal hysterectomy to abdominal hysterectomy demonstrated that laparoscopically assisted vaginal hysterectomy has clear benefits/advantages in terms of shorter hospital stay and ...

FRIDAY, April 14, 2017 (HealthDay News) -- There is considerable geographic variation in the cost of hysterectomy, according to a study published in the May issue of Obstetrics & Gynecology.. David Sheyn, M.D., from the University Hospitals Cleveland Medical Center, and colleagues evaluated data for 38,414 women undergoing inpatient hysterectomy for benign indications from the 2013 Healthcare Cost and Utilization Project National Inpatient Sample. The authors sought to examine geographic variation in the cost associated with hysterectomy.. The researchers found that hysterectomy had a median cost of $13,981. The lowest median cost was seen in the mid-Atlantic region ($9,661), while the highest median cost was seen in the Pacific region ($22,534). The highest probability of costs above the median were seen for the Pacific, South Atlantic, and South Central regions, compared with the mid-Atlantic region (adjusted odds ratios [aORs], 10.43 [95 percent confidence interval (CI), 9.44 to 11.45], 5.39 ...

While an abdominal hysterectomy procedure used to be an extremely difficult procedure, a da Vinci Robotic Surgery using the da Vinci Surgical System has made the hysterectomy a much easier procedure.

TY - JOUR. T1 - Nonsurgical management of placenta percreta. T2 - A case report. AU - Legro, Richard. AU - Price, Fredric V.. AU - Hill, Lyndon M.. AU - Caritis, Steve N.. PY - 1994/1/1. Y1 - 1994/1/1. N2 - Background: Although placenta percreta is rare, its sequelae include potentially lethal hemorrhage and loss of reproductive function. Therapy directed toward control of life-threatening hemorrhage frequently includes emergency hysterectomy. Case: A woman with placenta percreta, suspected clinically and documented radiographically, was treated nonsur-gically. Following delivery, the placenta was left in situ and methotrexate chemotherapy was initiated to aid destruction of the trophoblastic tissue. Eight months later, hysteroscopy showed a normal uterine cavity with only a small area of calcification at the presumed implantation site. Two years later, the patient had a normal pregnancy and vaginal delivery. Conclusion: Placenta percreta can be managed with preservation of the uterus, but ...

Class III radical hysterectomy (RH III)_plus pelvic lymphadenectomy is the standard surgery for early stage cervical cancer (CC) patients, the 5 year survival rate is about 90%, but pelvic floor disorders especially bladder dysfunction are common due to damaged vessels and nerve fibers following surgery. Transcutaneous electrical stimulation (TENS) treatment has been used to treat bladder disorders for many years, but its effect on cervical cancer patients, the best treatment time point and stimulated protocol, had never been assessed. The aim of this study is to investigate the efficacy of TENS treatment on lower urinary tract symptoms (LUTS) after RH III in CC patients. The study will be conducted as a clinical, multicentre, randomised controlled trial with balanced randomisation (1:1). The planned sample size is 208 participants (at 1:1 ratio, 104 subjects in each group). At 5-7 days after RH III, patients are screened according to operative and pathological findings. Enrolled participants are

Major obstetric hemorrhage is the leading cause of maternal morbidity and mortality. In rare cases, life-threatening hematuria in pregnant women may result from invasion of the bladder by the placenta. We present our experience with 18 cases of placenta percreta with suspected bladder invasion. It is a retrospective single-center study conducted over a period of 3 years. Total 18 patients of radiologically diagnosed placenta percreta were included in the study. All patients who are at risk for placenta percreta underwent prenatal sonograms. Patients of Placenta Accreta Spectrum presenting electively also underwent MRI pelvis. Elective patients who were high risk of placenta percreta underwent bilateral placement of the balloon catheter in internal iliac artery. In case of doubt regarding bladder invasion, patient underwent anterior cystotomy and posterior wall of the bladder was examined and proximity of the ureteric orifice to the placenta and amount of involvement of bladder wall was assessed.

The procedure is carried out under a regional block or general anesthesia. Lithotomy position is given and conventional steps of a vaginal hysterectomy are taken up to the division and ligation of the uterine blood vessels.[5,6,7] Owing to the enlargement of the uterine corpus, its fundus cannot be delivered through an open anterior or posterior peritoneal pouch. Then the uterus is bisected in the midline as in the bisection technique used for a difficult vaginal hysterectomy.[7] If it fails to allow the surgeon to reach the fundus, then it is abandoned. Pressure is made on the lateral aspect of the uterine corpus and it is displaced to the other side and somewhat cranially in the pelvic cavity. Index and middle fingers of the other hand are passed behind the uterine cornu of the same side, which has been now brought closer to the midline owing to lateral displacement of the corpus. A clamp is applied to the cornual pedicle containing the round ligament, fallopian tube, and uteroovarian ...

Vaginal hysterectomy - a surgical procedure under which a removal of the uterus and sometimes the ovaries and tubes.Recently, for the operation we have resorted very often, but still some doctors against its implementation.Their opinion is based on the fact that if a womans life is not in danger, it is unnecessary hysterectomy.The other group of doctors assure us that at a certain age, the uterus ceases to be useful and necessary to the body, but only becomes a source for the spread of infections.. Vaginal hysterectomy, the uterus is a so-called golden mean among all other types of surgery.During the operation incision in the upper part of the vagina, the uterus is removed through which.As a rule, it is only performed in parous women.Mainly due to the fact that the vagina have been the expansion and removal of the uterus will be facilitated.. ...

Patient Perceptions of Robotic Surgery for Benign Gynecologic Disease. Pregnancy after Novasure® Endometrial Ablation: Two Cases and a Literature Survey. A Laparoscopic Assisted Minilaparotomy Hysterectomy approach for Very Large Fibroid Uteri of more than 1000 grams - A Preliminary Study. Complex Vesicovaginal Fistula Repair with Gracilis Muscle Interposition Flap - Case Series of 5 Patients and Review of Literature. Articles related to hysterectomy are open access to read here.

The study compares the effect of bilateral salpingectomy associated with conservative hysterectomy on ovarian function to the standard hysterectomy wit

United Health, the nations largest health insurer, is changing rules on coverage for hysterectomy. As of April, 2015, UnitedHealth Group will require doctors to obtain additional authorization before performing most types of hysterectomies. Only vaginal hysterectomy performed as an outpatient basis wont require additional prior approval. Hysterectomy, a procedure done in the U.S. more than 500,000 times per year, is a gynecologic treatment commonly used for heavy bleeding or persistent pelvic pain.. The preferred method for performing a hysterectomy is through the vagina. Vaginal hysterectomy is done by a technique where there are no abdominal incisions, and neither the laparoscope nor the robot is used. According to ACOG, the American Congress of Obstetricians and Gynecologists, vaginal hysterectomy is associated with better outcomes, quicker recovery, and fewer complications than laparoscopic, robotic, or abdominal hysterectomy. With no abdominal incision we would expect less postoperative ...

INTRODUCTION: The use of robotics for benign etiology in gynecology has not proven to be more beneficial when compared to traditional laparoscopy. The major concern regarding robotic hysterectomy stems from its high cost. AIM: To evaluate the clinical utility and effectiveness of one-arm reduced robotic-assisted laparoscopic hysterectomy as a cost-effective surgical option for total robotic hysterectomy. MATERIAL AND METHODS: A sample population of 54 women who underwent robotic-assisted laparoscopic surgery for benign gynecologic indications was evaluated, and two groups were identified: (1) the two-armed robotic-assisted laparoscopic surgery group (n = 38 patients), and (2) the three-armed robotic-assisted laparoscopic surgery group (n = 16 patients ...

Bulletin Board: A Post From the Community | Faced with the possibility of a hysterectomy? You are not alone. The U.S. Department of Health and Human Services estimates one in three women have a hysterectomy by age 60. ¿Hysterectomy is a very common surgery,¿ says Obstetrician/Gynecologist John McInerney, D.O. ¿With the technology available at Palos, many times you can even avoid a hysterectomy by having a minor procedure to alleviate your symptoms.¿ Join Dr. McInerney and get the expert answers you deserve. He will discuss women¿s health issues and treatments available, including non-surgical options and minimally-invasive options using the da Vinci Surgical System. ¿There are better ways and ...

Other than the force of habit and tradition, the major reason for removing the cervix at the time of hysterectomy for benign disease is fear of cancer development in the cervical stump. To evaluate this risk, one needs to consider the incidence of such occurrence and whether removal of the cervix would eliminate it.. The incidence of cervical stump carcinoma is low, and such occurrences are often preventable if the established guidelines are followed.26, 27, 28 Among 1104 women who underwent supracervical hysterectomy for benign conditions, only 0.2% developed cervical stump carcinoma during 10 years of observation.29 Kilkku and Gronroos followed 2712 women who underwent subtotal hysterectomy between 1958 and 1978. They reported an incidence of cervical stump carcinoma of 0.11%.30 These rates are not significantly different from the 0.17% incidence of vaginal cuff cancer after TAH.31. Carcinoma of the cervical stump may be divided into two distinct groups: coincidental cases and true cases. ...

Your recovery from a vaginal hysterectomy can depend on many factors, and you should discuss this with your surgeon.. You will need to rest for two weeks after your operation, and you will likely need to take up to six weeks off of work after your surgery.. It is recommended that you abstain from sex for six weeks.. It can take up to three months to feel fully recovered from a vaginal hysterectomy, as it is a major operation.. You and your surgeon will discuss what you can expect after your surgery and what the best options will be for your recovery.. ...

In the nineties we experienced a massive development of laparoscopic surgery. Gynecologists were the first who paved the way. The method was simultaneously developed in three countries - the United States, France and Germany. From the United States the vaginal laparoscopically assisted procedures have came to Europe. The French and German schools were based on the historical knowledge of the Schauta radical hysterectomy. In 1989 Reich was the first who operated the LAVH, followed by Querleu in 1992 with lymphadenectomy and Dargeant who combined the Schauta procedure with the laparoscopic lymph node dissection. It was the laparoscopy that taught us the proper functional anatomy. A new nomenclature of the parametries was defined. Careful attention is given to the preservation of the autonomous inervation. In the beginning all laparoscopic surgeons were self-taught. Nowadays a standardized laparoscopic techniques are implemented for a radical laparoscopic operations ...

M.R. Hoffman , OB/Gyn, University of Kentucky, Lexington, Kentucky, UNITED STATES|A. Wade, University of Kentucky College of Medicine, Lexington, Kent...

Ureteral injury during gynecological surgery is a common problem and prevention is very much required. After the advent of laparoscopy iatrogenic ureteral injury during gynecological surgery has ...

Abdominal hysterectomy (removal of the uterus and cervix through a large abdominal incision) is what people traditionally think of when they refer to a hysterectomy. However, with the development of advanced techniques and surgical equipment, less invasive hysterectomy options are readily available by selectively trained surgeons.

Vaginal hysterectomy is an alternative to abdominal hysterectomy; the advantages to vaginal uterine removal are the absence of a large abdominal incision,...

Looking for medication to treat prevention+of+infection+during+vaginal+hysterectomy? Find a list of current medications, their possible side effects, dosage, and efficacy when used to treat or reduce the symptoms of prevention+of+infection+during+vaginal+hysterectomy

No significant difference was observed in the risk of recurrence, local recurrence, or death between patients with cervical cancer in whom a radical uterine procedure (mostly radical hysterectomy) was completed or abandoned upon intraoperative detection of positive pelvic lymph nodes. These findings from the retrospective, observational, international ABRAX study were presented by Cibula et al at the ESMO Virtual Congress 2020 (Abstract 806O).. Controversy Around Intraoperative Detection of Positive Lymph Nodes. Researchers discussed the controversy regarding the management of patients with cervical cancer who are diagnosed with positive pelvic lymph nodes intraoperatively. Current clinical practice is almost equally divided between two different types of managements. It was noted that extensive surgical dissection in the pelvis followed by pelvic radiotherapy has been linked to higher morbidity, since both treatment modalities are associated with different types of adverse events.. ABRAX ...

Ethicon, a subsidiary of Johnson & Johnson, has been sued by a married couple in Georgia. That couple alleges that using Ethicons Gynecare tissue morcellator during a hysterectomy led to the reoccurrence of cancer inside the patients body. This is a common claim thats raised by plaintiffs who have sued manufacturers of power morcellators. The rise in number of these power morcellator lawsuits has led to a lot of responses, including the decision by companies to pull their power morcellators from the market altogether. The power morcellator used in this procedure was one that was ultimately recalled by the manufacturer.. The Facts of the Case. According to the complaint filed that initiated this power morcellator lawsuit, a link to which can be found here, the female plaintiff underwent a laparoscopic hysterectomy in January of 2011. The purpose of the procedure was to remove uterine fibroids. The plaintiff showed no signs of metastatic cancer after undergoing pre-surgery tests. The plaintiff ...

We identified invasive uterine cancer cases among non-Hispanic White (henceforth, abbreviated as White), Black, and Hispanic women diagnosed during 2004 to 2008 using incidence data obtained from the North American Association of Central Cancer Registries (NAACCR) for 49 states and the District of Columbia. NAACCR certifies population-based central cancer registries participating in the National Cancer Institutes SEER program and/or the Centers for Disease Control and Preventions National Program of Cancer Registries, and aggregates and distributes surveillance data submitted by the registries for epidemiologic research (14, 15). Consistent with NAACCR and SEER convention, incidence rates are presented as an aggregate over the most recent 5 years of available data at the time of the study, in this case 2004 through 2008, for increased stability. Age-specific case counts for site codes C54.0-C54.9 (corpus uterus) and C55.9 (uterus, not otherwise specified; ref. 16) were retrieved using ...

Johnson & Johnsons Ethicon is facing a product liability lawsuits filed by women diagnosed with leimoyosarcoma following a laparoscopic hysterectomy. New studies show that the companys Gynecare power morcellators can cause hidden uterine cancer to be spread throughout the body.. A complaint was filed indicating that a female victim now must take oral chemotherapy to keep leiomyosarcoma cancer from spreading by the hysterectomy power Morcellator from killing her.. The manufacturer failed to adequately disclose the risk of cancer following laparoscopic hysterectomy morcellation, as the device may take hidden sarcomas contained within the uterus and chop up the tissue, causing a rapid dissemination of the aggressive cancer.. Power Morcellator Lawsuit Filed. During her hysterectomy in November 2008, Davis indicates that doctors used a Gynecare morcellator to cut up the uterus through a small incision in the abdomen. However, a biopsy of the removed tissue taken during the surgery was found to ...

Johnson & Johnsons Ethicon is facing a product liability lawsuits filed by women diagnosed with leimoyosarcoma following a laparoscopic hysterectomy. New studies show that the companys Gynecare power morcellators can cause hidden uterine cancer to be spread throughout the body.. A complaint was filed indicating that a female victim now must take oral chemotherapy to keep leiomyosarcoma cancer from spreading by the hysterectomy power Morcellator from killing her.. The manufacturer failed to adequately disclose the risk of cancer following laparoscopic hysterectomy morcellation, as the device may take hidden sarcomas contained within the uterus and chop up the tissue, causing a rapid dissemination of the aggressive cancer.. Power Morcellator Lawsuit Filed. During her hysterectomy in November 2008, Davis indicates that doctors used a Gynecare morcellator to cut up the uterus through a small incision in the abdomen. However, a biopsy of the removed tissue taken during the surgery was found to ...