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Hysterectomy

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1. Hysterectomy with opportunistic salpingectomy versus hysterectomy alone. (Abstract)

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

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

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 PubMed abstract

3. Robotic radical hysterectomy is superior to laparoscopic radical hysterectomy and open radical hysterectomy in the treatment of cervical cancer. (Full text)

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

2018 PLoS ONE PubMed abstract

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

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. Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse

Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse Sacrocolpope Sacrocolpopexy with h xy with hysterectom ysterectomy using mesh to y using mesh to repair uterine prolapse repair uterine prolapse Interventional procedures guidance Published: 22 March 2017 nice.org.uk/guidance/ipg577 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare (...) ://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 91 1 Recommendations Recommendations 1.1 Current evidence on the safety and efficacy of sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse is inadequate in quantity and quality. Therefore this procedure should only be used with special arrangements for clinical governance, consent and audit or research. 1.2 Clinicians wishing to do sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse should: Inform

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

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

7. Hysterectomy for Benign Gynaecologic Indications

Hysterectomy for Benign Gynaecologic Indications No. 377-Hysterectomy for Benign Gynaecologic Indications - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 4, Pages 543–557 No. 377-Hysterectomy for Benign Gynaecologic Indications x Jackie Thurston , MD Calgary, AB x Ally Murji , MD Toronto, ON x Sarah Scattolon , MD Hamilton, ON x Wendy Wolfman , MD Toronto, ON x Sari Kives , MD Toronto, ON x Ari Sanders , MD (...) Toronto, ON x Nicholas Leyland , MD Hamilton, ON No. 377, April 2019 (Replaces No. 109, January 2002; No. 238, January 2010) DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. ABSTRACT Objective To assist physicians performing gynaecologic surgery in decision making surrounding hysterectomy for benign indications. Intended Users Physicians, including gynaecologists, obstetricians, family physicians, general surgeons, emergency medicine

2019 Society of Obstetricians and Gynaecologists of Canada

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

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 PubMed abstract

9. Efficacy of nerve-sparing radical hysterectomy vs. conventional radical hysterectomy in early-stage cervical cancer: A systematic review and meta-analysis. (Full text)

Efficacy of nerve-sparing radical hysterectomy vs. conventional radical hysterectomy in early-stage cervical cancer: A systematic review and meta-analysis. The aim of the present study was to compare the oncological outcome of nerve-sparing radical hysterectomy (NSRH) and conventional radical hysterectomy (CRH) for early-stage cervical cancer using a meta-analysis. A systematic review and meta-analysis was conducted, including 4 randomized controlled trials (RCT), 8 case-control and 11

2020 Molecular and clinical oncology PubMed abstract

10. Laparoscopic radical hysterectomy has higher risk of perioperative urologic complication than abdominal radical hysterectomy: a meta-analysis of 38 studies. (Abstract)

Laparoscopic radical hysterectomy has higher risk of perioperative urologic complication than abdominal radical hysterectomy: a meta-analysis of 38 studies. A meta-analysis was performed to assess risks of intraoperative and postoperative urologic complications in laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH).We searched Pubmed, EMBASE, and Cochrane library for studies published up to December, 2018. Manual searches of related articles and relevant (...) complications compared to abdominal radical hysterectomy (ARH) was 1.40 [95% confidence interval (CI) 1.05-1.87]. The OR of LRH for postoperative complication risk compared to ARH was 1.35 [95% CI 1.01-1.80]. However, significant adverse effects of intraoperative urologic complications in LRH were not observed among articles published after 2012 (OR 1.12, 95% CI 0.77-1.62) in cumulative meta-analysis or subgroup analysis. The incidence of bladder injury was statistically higher than that of ureter injury (p

2020 Surgical endoscopy

11. A new technique for supracervical hysterectomy: Anterograde vaginal subtotal hysterectomy. (Full text)

A new technique for supracervical hysterectomy: Anterograde vaginal subtotal hysterectomy. To review the results of a novel method of subtotal hysterectomy, called anterograde vaginal subtotal hysterectomy (AVSH), and to compare them with those of laparoscopic subtotal hysterectomy (LSH).We recruited 100 women with non-prolapsed uteruses and benign lesions of the uterus who required surgery. Of these, 60 underwent AVSH and 40 underwent LSH. Clinical data included average operation time, average

2020 Medicine PubMed abstract

12. 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

13. 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

15. 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

16. Hysterectomy versus hysterectomy plus oophorectomy for premenopausal women. (Abstract)

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

17. 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.

18. Antibiotic prophylaxis for elective hysterectomy. (Full text)

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

2017 Cochrane PubMed abstract

19. 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

20. Laparoscopically assisted radical vaginal hysterectomy versus radical abdominal hysterectomy for the treatment of early cervical cancer. (Full text)

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

2013 Cochrane PubMed abstract

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