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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. Hysterectomy with opportunistic salpingectomy versus hysterectomy alone. (PubMed)

Hysterectomy with opportunistic salpingectomy versus hysterectomy alone. Ovarian cancer has the highest mortality rate of all gynaecological malignancies with an overall five-year survival rate of 30% to 40%. In the past two decades it has become apparent and more commonly accepted that a majority of ovarian cancers originate in the fallopian tube epithelium and not from the ovary itself. This paradigm shift introduced new possibilities for ovarian cancer prevention. Salpingectomy during (...) a hysterectomy for benign gynaecological indications (also known as opportunistic salpingectomy) might reduce the overall incidence of ovarian cancer. Aside from efficacy, safety is of utmost importance, especially due to the preventive nature of opportunistic salpingectomy. Most important are safety in the form of surgical adverse events and postoperative hormonal status. Therefore, we compared the benefits and risks of hysterectomy with opportunistic salpingectomy to hysterectomy without opportunistic

2019 Cochrane

3. Laparoscopic supracervical hysterectomy compared with second-generation endometrial ablation for heavy menstrual bleeding: the HEALTH RCT

Laparoscopic supracervical hysterectomy compared with second-generation endometrial ablation for heavy menstrual bleeding: the HEALTH RCT Laparoscopic supracervical hysterectomy compared with second-generation endometrial ablation for heavy menstrual bleeding: the HEALTH RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation (...) or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Hysterectomy was associated with higher patient satisfaction and better quality of life at 15 months than endometrial ablation but it was more costly in the short term. {{author}} {{($index , , , , , , , , , , , & . Kevin Cooper 1, * , Suzanne Breeman 2 , Neil W Scott 3 , Graham Scotland 2, 4 , Rodolfo Hernández 4 , T Justin Clark 5

2019 NIHR HTA programme

4. Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. (PubMed)

Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. Heavy menstrual bleeding (HMB) is an important cause of ill health in women of reproductive age, causing them physical problems, social disruption and reducing their quality of life. Medical therapy has traditionally been first-line therapy. Surgical treatment of HMB often follows failed or ineffective medical therapy. The definitive treatment is hysterectomy, but this is a major surgical procedure (...) with significant physical and emotional complications, as well as social and economic costs. Less invasive surgical techniques, such as endometrial resection and ablation, have been developed with the purpose of improving menstrual symptoms by removing or ablating the entire thickness of the endometrium.To compare the effectiveness, acceptability and safety of techniques of endometrial destruction by any means versus hysterectomy by any means for the treatment of heavy menstrual bleeding.Electronic searches

2019 Cochrane

5. 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

6. Morcellation for myomectomy or hysterectomy (Consent Advice No. 13)

Morcellation for myomectomy or hysterectomy (Consent Advice No. 13) Morcellation for Myomectomy or Hysterectomy RCOG Consent Advice No. 13 October 2019Consent Advice No. 13 2 of 10 © Royal College of Obstetricians and Gynaecologists Morcellation for Myomectomy or Hysterectomy This paper provides advice for healthcare professionals obtaining consent from individuals undergoing myomectomy or hysterectomy for benign conditions, where the use of morcellation is being considered. There should (...) of Obstetricians and Gynaecologists: www.rcog.org.uk/en/patients/patient-leaflets/morcellation-myomectomy-hysterectomy/. Health professionals obtaining consent should be prepared to discuss with the individual, any of the points listed on the following pages. Risks may be quantified using the descriptors below. Table 1. Presenting information on risk Term Equivalent numerical ratio Colloquial equivalent Very common Common Uncommon Rare Very rare 1 in 1 to 1 in 10 1 in 10 to 1 in 100 1 in 100 to 1 in 1000 1

2019 Royal College of Obstetricians and Gynaecologists

8. 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

9. 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

10. 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

11. 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

12. Emerging data on the surgical approach for radical hysterectomy in the treatment of women with cervical cancer

Emerging data on the surgical approach for radical hysterectomy in the treatment of women with cervical cancer SGO member update: Emerging data on the surgical approach for radical hysterectomy in the treatment of women with cervical cancer | SGO Secondary menu Working to Eradicate Gynecologic Cancers Main menu Search | | Are you sure you wish to delete this record?

2019 Society of Gynecologic Oncology

13. 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

Full Text available with Trip Pro

2017 Cochrane

14. Impact of Radical Hysterectomy Versus Simple Hysterectomy on Survival of Patients with Stage 2 Endometrial Cancer: A Meta-analysis. (PubMed)

Impact of Radical Hysterectomy Versus Simple Hysterectomy on Survival of Patients with Stage 2 Endometrial Cancer: A Meta-analysis. The strategy of radical surgery for stage 2 endometrial cancer (EC) remains controversial. This meta-analysis aimed to investigate the impact of radical hysterectomy (RH) versus simple hysterectomy (SH) on survival of patients with stage 2 EC.A systematic review was conducted to identify studies comparing survival between RH and SH in International Federation

2019 Annals of Surgical Oncology

15. Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis. (PubMed)

Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis. There are various surgical approaches of hysterectomy for benign indications. This study aimed to compare vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH) with respect to their complications and operative outcomes.We selected randomised controlled trials that compared VH with LH for benign gynaecological indications. We included studies published after January 2000 (...) , intraoperative conversion, postoperative pain on the day of surgery and at 48 h, length of hospital stay and recuperation time between VH and LH. VH was associated with a shorter operating time and lower postoperative pain at 24 h than LH.When both surgical approaches are feasible, VH should remain the surgery of choice for benign hysterectomy.

2019 BMC Women's Health

16. 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 Controlled trial quality: predicted high

17. 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

2017 JAMA Controlled trial quality: predicted high

18. Urologic Complications After Laparoscopic Radical Hysterectomy and Abdominal Radical Hysterectomy in Patients With Early Cervical Cancer: A Prospective Randomized Study. (PubMed)

Urologic Complications After Laparoscopic Radical Hysterectomy and Abdominal Radical Hysterectomy in Patients With Early Cervical Cancer: A Prospective Randomized Study. 27679368 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Urologic Complications After Laparoscopic Radical Hysterectomy and Abdominal Radical Hysterectomy in Patients With Early Cervical Cancer: A Prospective Randomized Study. S88 S1553-4650(15)00844-4 10.1016/j.jmig

2019 Journal of minimally invasive gynecology Controlled trial quality: uncertain

19. 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.

20. 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

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