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Hysterectomy

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1. Nerve-sparing radical hysterectomy compared to standard radical hysterectomy for women with early stage cervical cancer (stage Ia2 to IIa). (PubMed)

Nerve-sparing radical hysterectomy compared to standard radical hysterectomy for women with early stage cervical cancer (stage Ia2 to IIa). Radical hysterectomy is one of the standard treatments for stage Ia2 to IIa cervical cancer. Bladder dysfunction caused by disruption of the pelvic autonomic nerves is a common complication following standard radical hysterectomy and can affect quality of life significantly. Nerve-sparing radical hysterectomy is a modified radical hysterectomy, developed (...) to permit resection of oncologically relevant tissues surrounding the cervical lesion, while preserving the pelvic autonomic nerves.To evaluate the benefits and harms of nerve-sparing radical hysterectomy in women with stage Ia2 to IIa cervical cancer.We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2018, Issue 4), MEDLINE via Ovid (1946 to May week 2, 2018), and Embase via Ovid (1980 to 2018, week 21). We also checked registers of clinical trials, grey literature, reports

2019 Cochrane

2. Robotic radical hysterectomy is superior to laparoscopic radical hysterectomy and open radical hysterectomy in the treatment of cervical cancer. (PubMed)

Robotic radical hysterectomy is superior to laparoscopic radical hysterectomy and open radical hysterectomy in the treatment of cervical cancer. Cervical cancer (CC) continues to be a global burden for women, with higher incidence and mortality rates reported annually. Many countries have witnessed a dramatic reduction in the prevalence of CC due to widely accessed robotic radical hysterectomy (RRH). This network meta-analysis aims to compare intraoperative and postoperative outcomes in way (...) of RRH, laparoscopic radical hysterectomy (LTH) and open radical hysterectomy (ORH) in the treatment of early-stage CC.A comprehensive search of PubMed, Cochrane Library and EMBASE databases was performed from inception to June 2016. Clinical controlled trials (CCTs) of above three hysterectomies in the treatment of early-stage CC were included in this study. Direct and indirect evidence were incorporated for calculating values of weighted mean difference (WMD) or odds ratio (OR), and drawing

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2018 PLoS ONE

4. Type II or type III radical hysterectomy compared to chemoradiotherapy as a primary intervention for stage IB2 cervical cancer. (PubMed)

Type II or type III radical hysterectomy compared to chemoradiotherapy as a primary intervention for stage IB2 cervical cancer. Cervical cancer is the fourth most common cancer in women, with 528,000 estimated new cases globally in 2012. A large majority (around 85%) of the disease burden occurs in low- and middle-income countries (LMICs), where it accounts for almost 12% of all female cancers. Treatment of stage IB2 cervical cancers, which sit between early and advanced disease (...) , is controversial. Some centres prefer to treat these cancers by radical hysterectomy, with chemoradiotherapy reserved for those at high risk of recurrence. In the UK, we treat stage IB2 cervical cancers mainly with chemoradiotherapy, based on the rationale that a high percentage will have risk factors necessitating chemoradiotherapy postsurgery. There has been no systematic review to determine the best possible evidence in managing these cancers.To determine if primary surgery for stage IB2 cervical cancer

2018 Cochrane

5. Hysterectomy versus hysterectomy plus oophorectomy for premenopausal women. (PubMed)

Hysterectomy versus hysterectomy plus oophorectomy for premenopausal women. Background Prophylactic oophorectomy alongside hysterectomy in premenopausal women is a common procedure. The decision to remove or conserve the ovaries is often based on the perceived risk for ovarian cancer and the need for additional gynaecological surgical interventions,and is weighed against the perceived risk of negative health effects caused by surgically induced menopause. The evidence needed to recommend either (...) prophylactic bilateral oophorectomy or conservation of ovaries at the time of hysterectomy in premenopausal women is limited. This is an update of the original version of this systematic review published in 2008.Objectives To compare hysterectomy alone versus hysterectomy plus bilateral oophorectomy in women with benign gynaecological conditions,with respect to rates of mortality or subsequent gynaecological surgical interventions.Search methods We searched the Cochrane Menstrual Disorders and Subfertility

2014 Cochrane

6. Supracervical Hysterectomy

Supracervical Hysterectomy No. 238-Supracervical Hysterectomy - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 7, Pages e597–e604 No. 238-Supracervical Hysterectomy x Sari Kives , MD Toronto, ON x Guylaine Lefebvre , MD Toronto, ON No. 238, January 2010 (Reaffirmed July 2018) DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Abstract Objective (...) This guideline reviews the evidence relating to the potential benefits of the vaginal hysterectomy (VH) and supracervical hysterectomy (SCH) versus total abdominal hysterectomy (TAH) with respect to postoperative sexual function, urinary function, and peri- and postoperative complications. Laparoscopic options are not included in this guideline. Options Women considering hysterectomy for benign disease can be given the option of retaining the cervix or proceeding with a total hysterectomy. Outcomes

2018 Society of Obstetricians and Gynaecologists of Canada

7. Hysterectomy

Hysterectomy No. 109-Hysterectomy - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 7, Pages e567–e579 No. 109-Hysterectomy x Guylaine Lefebvre , MD Toronto, ON x Catherine Allaire , MD Vancouver, BC x John Jeffrey , MD Kingston, ON x George Vilos , MD London, ON No. 109, January 2002 (Reaffirmed July 2018) DOI: To view the full text, please login as a subscribed user or . Click to view the full text (...) on ScienceDirect. Figures Abstract Objective To identify the indications for hysterectomy, preoperative assessment, and available alternatives required prior to hysterectomy. Patient self-reported outcomes of hysterectomy have revealed high levels of patient satisfaction. These may be maximized by careful preoperative assessment and discussion of other treatment choices. In most cases hysterectomy is performed to relieve symptoms and improve quality of life. The patient's preference regarding treatment

2018 Society of Obstetricians and Gynaecologists of Canada

8. Antibiotic prophylaxis for elective hysterectomy. (PubMed)

Antibiotic prophylaxis for elective hysterectomy. Elective hysterectomy is commonly performed for benign gynaecological conditions. Hysterectomy can be performed abdominally, laparoscopically, or vaginally, with or without laparoscopic assistance. Antibiotic prophylaxis consists of administration of antibiotics to reduce the rate of postoperative infection, which otherwise affects 40%-50% of women after vaginal hysterectomy, and more than 20% after abdominal hysterectomy. No Cochrane review has (...) undergoing elective vaginal or abdominal hysterectomy, regardless of the dose regimen. However, evidence is insufficient to show whether use of prophylactic antibiotics influences rates of adverse effects. Similarly, evidence is insufficient to show which (if any) individual antibiotic, dose regimen, or route of administration is safest and most effective. The most recent studies included in this review were 14 years old at the time of our search. Thus findings from included studies may not reflect

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2017 Cochrane

9. Laparoscopic-assisted vaginal hysterectomy versus vaginal hysterectomy for benign uterine diseases: a prospective, randomized, multicenter, double-blind trial (LAVA). (PubMed)

Laparoscopic-assisted vaginal hysterectomy versus vaginal hysterectomy for benign uterine diseases: a prospective, randomized, multicenter, double-blind trial (LAVA). To compare the impact of peritoneal closure on postoperative pain after vaginal (VH) and laparoscopic-assisted vaginal hysterectomy (LAVH).A prospective, randomized, double-blind study was designed to investigate as primary outcome the postoperative pain after VH and LAVH with and without peritoneal closure. The postoperative pain

2019 Archives of gynecology and obstetrics

10. Effect of Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy on Disease-Free Survival Among Women With Stage I Endometrial Cancer: A Randomized Clinical Trial. (PubMed)

Effect of Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy on Disease-Free Survival Among Women With Stage I Endometrial Cancer: A Randomized Clinical Trial. Standard treatment for endometrial cancer involves removal of the uterus, tubes, ovaries, and lymph nodes. Few randomized trials have compared disease-free survival outcomes for surgical approaches.To investigate whether total laparoscopic hysterectomy (TLH) is equivalent to total abdominal hysterectomy (TAH) in women (...) in TAH group [6.8%] vs 30/407 in TLH group [7.4%]; risk difference, 0.6% [95% CI, -3.0% to 4.2%]; P = .76).Among women with stage I endometrial cancer, the use of total abdominal hysterectomy compared with total laparoscopic hysterectomy resulted in equivalent disease-free survival at 4.5 years and no difference in overall survival. These findings support the use of laparoscopic hysterectomy for women with stage I endometrial cancer.clinicaltrials.gov Identifier: NCT00096408; Australian New Zealand

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2017 JAMA

11. Comparative effectiveness review of robotically assisted hysterectomy

Comparative effectiveness review of robotically assisted hysterectomy Comparative effectiveness review of robotically assisted hysterectomy Comparative effectiveness review of robotically assisted hysterectomy HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Comparative effectiveness review of robotically assisted (...) hysterectomy. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Robotically assisted hysterectomy (RAH) is intended for the minimally invasive removal of the uterus as a treatment for various medical conditions, including benign conditions such as endometriosis, uterine fibroids, and uterine prolapse. It is also used to treat and stage malignant conditions such as cervical and endometrial cancers. Rationale: Robotic surgical systems were developed to address the limitations

2018 Health Technology Assessment (HTA) Database.

12. Notice to SGO Members: Emerging data on the surgical approach for radical hysterectomy in the treatment of women with cervical cancer

Notice to SGO Members: Emerging data on the surgical approach for radical hysterectomy in the treatment of women with cervical cancer

2018 Society of Gynecologic Oncology

13. Laparoscopically assisted radical vaginal hysterectomy versus radical abdominal hysterectomy for the treatment of early cervical cancer. (PubMed)

Laparoscopically assisted radical vaginal hysterectomy versus radical abdominal hysterectomy for the treatment of early cervical cancer. Cervical cancer is the second most common cancer among women and is the most frequent cause of death from gynaecological cancers worldwide. Standard surgical management for selected early-stage cervical cancer is radical hysterectomy. Traditionally, radical hysterectomy has been carried out via the abdominal route and this remains the gold standard surgical (...) management of early cervical cancer. In recent years, advances in minimal access surgery have made it possible to perform radical hysterectomy with the use of laparoscopy with the aim of reducing the surgical morbidity and promoting a faster recovery.To compare the effectiveness and safety of laparoscopically assisted radical vaginal hysterectomy (LARVH) and radical abdominal hysterectomy (RAH) in women with early-stage (1 to 2A) cervical cancer.We searched the Cochrane Gynaecological Cancer Group Trials

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2013 Cochrane

14. Systematic review with meta analysis: Vaginal hysterectomy is the best minimal access method for hysterectomy

Systematic review with meta analysis: Vaginal hysterectomy is the best minimal access method for hysterectomy Vaginal hysterectomy is the best minimal access method for hysterectomy | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Vaginal hysterectomy is the best minimal access method for hysterectomy Article Text Therapeutics/Prevention Systematic review with meta analysis Vaginal hysterectomy is the best minimal access method for hysterectomy

2015 Evidence-Based Medicine (Requires free registration)

15. Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy and Disease-Free Survival Among Women With Stage I Endometrial Cancer

Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy and Disease-Free Survival Among Women With Stage I Endometrial Cancer Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy and Disease-Free Survival Among Women With Stage I Endometrial Cancer – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For women with stage I endometrial cancer, laparoscopic hysterectomy appears to be associated with the same likelihood of overall survival and disease-free (...) survival at 4.5 years as total abdominal hysterectomy, while laparoscopic hysterectomy may be associated with fewer postoperative surgical complications. Strength of Recommendation = B Advertisements Like this: Like Loading... Categories: Tags: Post navigation Simpler, Better Medicine Indexing evidence for "less medical” approaches with better outcomes. Recent entries Search by key words Search for: Search By Strength of Recommendation (SOR) (42) (244) (27) Search by clinical category For regular

2017 Less Is More Blog

16. Total laparoscopic hysterectomy versus total abdominal hysterectomy for endometrial cancer: a meta-analysis

Total laparoscopic hysterectomy versus total abdominal hysterectomy for endometrial cancer: a meta-analysis Total laparoscopic hysterectomy versus total abdominal hysterectomy for endometrial cancer: a meta-analysis Total laparoscopic hysterectomy versus total abdominal hysterectomy for endometrial cancer: a meta-analysis Wang HL, Ren YF, Yang J, Qin RY, Zhai KH CRD summary This review concluded there was new evidence of a benefit of total laparoscopic hysterectomy over total abdominal (...) hysterectomy for major complications, total complications and postoperative complications in women with endometrial cancer. The authors' conclusions appear to follow from the results, but should be viewed with caution due to small numbers of patients and lack of clarity about included trial quality. Authors' objectives To investigate the effects of total laparoscopic hysterectomy versus total abdominal hysterectomy in women with early-stage endometrial cancer. Searching PubMed, EMBASE, CBM (Chinese

2013 DARE.

17. Choosing the Route of Hysterectomy for Benign Disease

Choosing the Route of Hysterectomy for Benign Disease Choosing the Route of Hysterectomy for Benign Disease - ACOG Menu ▼ Choosing the Route of Hysterectomy for Benign Disease Page Navigation ▼ Number 701, June 2017 (Replaces Committee Opinion Number 444, November 2009) Committee on Gynecologic Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice in collaboration with committee members Kristen A. Matteson, MD (...) , MPH and Samantha F. Butts, MD, MSCE. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Choosing the Route of Hysterectomy for Benign Disease ABSTRACT: Hysterectomy is one of the most frequently performed surgical procedures in the United States. Selection of the route of hysterectomy for benign causes can be influenced

2017 American College of Obstetricians and Gynecologists

18. Vaginal hysterectomy versus laparoscopically assisted vaginal hysterectomy for large uteri between 280 and 700 g: a randomized controlled trial. (PubMed)

Vaginal hysterectomy versus laparoscopically assisted vaginal hysterectomy for large uteri between 280 and 700 g: a randomized controlled trial. To compare surgical outcomes, postoperative complications and costs between vaginal hysterectomy and laparoscopically assisted vaginal hysterectomy in cases of large uteri.Prospective randomized controlled trial done at Ain Shams University Maternity Hospital, where 50 patients were recruited and divided into two equal groups (each 25 patients). First (...) group underwent vaginal hysterectomy, and the second underwent laparoscopically assisted vaginal hysterectomy.Patient characteristics were similar in both groups. As for surgical outcomes, estimated intraoperative blood loss (P = 0.90), operative time (P = 0.48), preoperative hemoglobin (P = 0.09), postoperative hemoglobin (P = 0.42), and operative complications (P = 1.0) did not differ between the two groups. The hospital costs (converted from Egyptian pound to U.S. dollars) were significantly

2018 Archives of gynecology and obstetrics

19. Total Laparoscopic Hysterectomy With Sacrocolpopexy Versus Total Laparoscopic Hysterectomy With Lateral Suspension in Patients With Pelvic Organ Prolapse

Total Laparoscopic Hysterectomy With Sacrocolpopexy Versus Total Laparoscopic Hysterectomy With Lateral Suspension in Patients With Pelvic Organ Prolapse Total Laparoscopic Hysterectomy With Sacrocolpopexy Versus Total Laparoscopic Hysterectomy With Lateral Suspension in Patients With Pelvic Organ Prolapse - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail (...) Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Total Laparoscopic Hysterectomy With Sacrocolpopexy Versus Total Laparoscopic Hysterectomy With Lateral Suspension in Patients With Pelvic Organ Prolapse The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government

2018 Clinical Trials

20. Disease-Free and Survival Outcomes for Total Laparoscopic Hysterectomy Compared With Total Abdominal Hysterectomy in Early-Stage Endometrial Carcinoma: A Meta-analysis.

Disease-Free and Survival Outcomes for Total Laparoscopic Hysterectomy Compared With Total Abdominal Hysterectomy in Early-Stage Endometrial Carcinoma: A Meta-analysis. Laparoscopic hysterectomy is currently offered to a large number of patients, and assessing the noninferiority to abdominal hysterectomy with respect to clinical outcomes is key. We examine rates of recurrence, disease-free survival (DFS), and overall survival, and surgical complications of laparoscopic compared with abdominal (...) hysterectomy for the treatment of early-stage endometrial cancer.Electronic databases were systematically searched to identify relevant studies, and patient characteristics and clinical outcomes extracted. The primary outcome was 3-year DFS, and estimates were pooled using an inverse-variance weighted meta-analysis.Nine studies (4405 patients) were identified in which DFS was reported in 5 studies. The difference in 3-year DFS was 1.44% (95% confidence interval [CI], -0.65% to 3.53%) in favor of total

2018 International journal of gynecological cancer : official journal of the International Gynecological Cancer Society

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