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Hysterectomy

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61. Survival after Minimally Invasive Radical Hysterectomy for Early-Stage Cervical Cancer. (PubMed)

Survival after Minimally Invasive Radical Hysterectomy for Early-Stage Cervical Cancer. Minimally invasive surgery was adopted as an alternative to laparotomy (open surgery) for radical hysterectomy in patients with early-stage cervical cancer before high-quality evidence regarding its effect on survival was available. We sought to determine the effect of minimally invasive surgery on all-cause mortality among women undergoing radical hysterectomy for cervical cancer.We performed a cohort study (...) involving women who underwent radical hysterectomy for stage IA2 or IB1 cervical cancer during the 2010-2013 period at Commission on Cancer-accredited hospitals in the United States. The study used inverse probability of treatment propensity-score weighting. We also conducted an interrupted time-series analysis involving women who underwent radical hysterectomy for cervical cancer during the 2000-2010 period, using the Surveillance, Epidemiology, and End Results program database.In the primary analysis

2018 NEJM

62. Use and outcomes of minimally invasive hysterectomy for women with nonendometrioid endometrial cancers

Use and outcomes of minimally invasive hysterectomy for women with nonendometrioid endometrial cancers Minimally invasive hysterectomy is now used routinely for women with uterine cancer. Most studies of minimally invasive surgery for endometrial cancer have focused on low-risk endometrioid tumors, with few reports of the safety of the procedure for women with higher risk histologic subtypes.The purpose of this study was to examine the use of and survival associated with minimally invasive (...) hysterectomy for women with uterine cancer and high-risk histologic subtypes.We used the National Cancer Database to identify women with stages I-III uterine cancer who underwent hysterectomy from 2010-2014. Women with serous carcinomas, clear cell carcinomas, and sarcomas were examined. Women who had laparoscopic or robotic-assisted hysterectomy were compared with those who underwent open abdominal hysterectomy. After a propensity score inverse probability of treatment weighted analysis, the effect

2018 EvidenceUpdates

63. Uterine weight and complications after abdominal, laparoscopic, and vaginal hysterectomy

Uterine weight and complications after abdominal, laparoscopic, and vaginal hysterectomy Although uterine size has been a previously cited barrier to minimally invasive hysterectomy, experienced gynecologic surgeons have been able to demonstrate that laparoscopic and vaginal hysterectomy is feasible with increasingly large uteri. By demonstrating that minimally invasive hysterectomy continues to have superior outcomes even with increased uterine weights, opportunity exists to meaningfully (...) postoperative outcomes from >500 hospitals across the United States and targeted data files, which includes additional data on procedure-specific risk factors and outcomes in >100 of those participating hospitals. We analyzed patients undergoing hysterectomy for benign conditions from 2014 through 2015, identified by Current Procedural Terminology code. We excluded patients who had cancer, surgery by a nongynecology specialty, or missing uterine weight. Patients were compared with respect to 30-day

2018 EvidenceUpdates

64. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer. (PubMed)

Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer. There are limited data from retrospective studies regarding whether survival outcomes after laparoscopic or robot-assisted radical hysterectomy (minimally invasive surgery) are equivalent to those after open abdominal radical hysterectomy (open surgery) among women with early-stage cervical cancer.In this trial involving patients with stage IA1 (lymphovascular invasion), IA2, or IB1 cervical cancer and a histologic (...) , body-mass index, stage of disease, lymphovascular invasion, and lymph-node involvement; minimally invasive surgery was also associated with a lower rate of overall survival (3-year rate, 93.8% vs. 99.0%; hazard ratio for death from any cause, 6.00; 95% CI, 1.77 to 20.30).In this trial, minimally invasive radical hysterectomy was associated with lower rates of disease-free survival and overall survival than open abdominal radical hysterectomy among women with early-stage cervical cancer. (Funded

2018 NEJM Controlled trial quality: predicted high

65. Laparoscopic vs transvaginal cuff closure after total laparoscopic hysterectomy: a randomized trial by the Italian Society of Gynecologic Endoscopy

Laparoscopic vs transvaginal cuff closure after total laparoscopic hysterectomy: a randomized trial by the Italian Society of Gynecologic Endoscopy Vaginal cuff dehiscence following hysterectomy is considered an infrequent but potentially devastating complication. Different possible techniques for cuff closure have been proposed to reduce this threatening adverse event.The aim of the present randomized study was to compare laparoscopic and transvaginal suture of the vaginal vault at the end (...) of a total laparoscopic hysterectomy, in terms of incidence of vaginal dehiscence and vaginal cuff complications. Factors associated with vaginal dehiscence were also analyzed. This article presents the results of the interim analysis of the trial.Patients undergoing total laparoscopic hysterectomy for benign indications were randomized at the time of colpotomy to receive vaginal closure through transvaginal vs laparoscopic approach using a 1:1 ratio. Allocation concealment was obtained using a password

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2018 EvidenceUpdates

66. Preoperative Acetaminophen Use in Hysterectomy to Reduce Postoperative Opioid Consumption

Preoperative Acetaminophen Use in Hysterectomy to Reduce Postoperative Opioid Consumption "Preoperative Acetaminophen Use in Hysterectomy to Reduce Postoperative" by Anna Lee < > > > > > Title Author Date of Graduation Summer 8-13-2016 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Annjanette Sommers Second Advisor Brent Norris Rights . Abstract Background: Hysterectomy is a common surgery amongst females and is occasionally considered (...) use postoperatively. The aim of this review is to evaluate whether preoperative acetaminophen use will decrease postoperative opioid use within the first 24-hours after a hysterectomy. Methods: An exhaustive literature search of available medical literature was performed using MEDLINE-Ovid, Web of Science, and CINAHL-Ebscohost. Keywords used included: preoperative care and acetaminophen. Relevant articles were assessed for quality using the GRADE system. Results: Nine articles were found

2016 Pacific University EBM Capstone Project

67. Post-Hysterectomy Vaginal Vault Prolapse

Post-Hysterectomy Vaginal Vault Prolapse Post-Hysterectomy Vaginal Vault Prolapse Green-top Guideline No. 46 RCOG/BSUG Joint Guideline | July 2015RCOG/BSUG Green-top Guideline No. 46 © Royal College of Obstetricians and Gynaecologists 2 of 21 Post-Hysterectomy Vaginal Vault Prolapse This is the second edition of this guideline, previously published in 2007 as a joint guideline with the British Society of Urogynaecology as ‘The Management of Post Hysterectomy Vaginal Vault Prolapse’. Executive (...) summary of recommendations Diagnosis and investigation What is the preferred classification for vault/pelvic organ prolapse? Standardised classification systems should be used for the assessment and documentation of pelvic organ prolapse (POP), including vault prolapse. When is urodynamic testing required? Routine urodynamic assessment is not recommended in women with post-hysterectomy vaginal vault prolapse (PHVP). [New 2015] In what setting should a patient with PHVP be assessed? Clinicians should

2015 Royal College of Obstetricians and Gynaecologists

68. Perimortem cesarean delivery and subsequent emergency hysterectomy: new strategy for maternal cardiac arrest (PubMed)

Perimortem cesarean delivery and subsequent emergency hysterectomy: new strategy for maternal cardiac arrest Perimortem cesarean delivery (PMCD) is the only way to resuscitate pregnant women in cardiac arrest, and has been found to increase maternal resuscitation rate by increasing circulating plasma volume. However, many obstetricians have not experienced a case of PMCD, as situations requiring it are rare. We report our strategy for cases of maternal cardiac arrest, on the basis of a review (...) of published work, and present two case reports from our medical center.In case 1, PMCD led to death by massive bleeding. In case 2, PMCD and hysterectomy were carried out after the introduction of venoarterial extracorporeal membrane oxygenation, and both mother and baby survived.We find that rapid hysterectomy as a damage control surgery following PMCD can be life-saving for both mother and baby.

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2017 Acute medicine & surgery

69. Frequency and causes of emergency hysterectomy along with vaginal delivery and caesarean section in Hamadan, Iran (PubMed)

Frequency and causes of emergency hysterectomy along with vaginal delivery and caesarean section in Hamadan, Iran Emergency hysterectomy (peripartum) is a high-risk surgery that almost always is done in the treatment or prevention of severe and life-threatening bleeding that occurs after vaginal delivery or caesarean.To compare the frequency and causes of emergency hysterectomy along with the vaginal delivery and caesarean section (CS).The cross-sectional research was conducted on patients who (...) underwent a peripartum hysterectomy from 2005 to 2015 at Fatemieh Hospital in Hamadan City, Iran. Data collection tools included a questionnaire about demographic features and factors associated with hysterectomy surgery. Data were analyzed using SPSS version 21 and by descriptive statistics, chi-square, paired t-test, and one-way analysis of variance (ANOVA).The mean age of women was 33.4±5.09 years. In recent years, 37 cases of hysterectomy were reported, with the peak occurring in 2015. The highest

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2017 Electronic physician

70. Relationship between hysterectomy and severity of female stress urinary incontinence (PubMed)

Relationship between hysterectomy and severity of female stress urinary incontinence Stress Urinary Incontinence (SUI) is one of the most reported health dilemmas of women suffering from lower urinary tract symptoms.To determine the relation between hysterectomy and severity of female SUI using Valsalva Leak Point Pressure (VLPP).This case-control study was conducted at a public urology clinic in Tehran in 2015. The study population was all female with SUI complaints who visited the clinic (...) during 2015. We compared Valsalva leak point pressure in two groups of female SUI patients with and without hysterectomy history. The inclusion criteria were: not taking any alpha-blocker or anti-cholinergic medicines two weeks prior to the urodynamic test as well as no history of pelvic surgery or cesarean delivery in their lifetime. All qualified patients were invited to participate in the study randomly, and among them, 120 qualified patients agreed to participate by filling out the informed

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2017 Electronic physician

71. The risk of stroke after hysterectomy with or without concomitant bilateral oophorectomy for benign diseases

The risk of stroke after hysterectomy with or without concomitant bilateral oophorectomy for benign diseases Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

72. Quality of life of patients submitted to conventional and robotically total laparoscopic hysterectomy: systematic review of randomized clinical trials

Quality of life of patients submitted to conventional and robotically total laparoscopic hysterectomy: systematic review of randomized clinical trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

73. Quality of life and sexual function after radical hysterectomy in cervical cancer survivors: a systematic review

Quality of life and sexual function after radical hysterectomy in cervical cancer survivors: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2019 PROSPERO

74. Is endometrial resection more effective than hysterectomy in improving quality of life and sexual function of patients with abnormal uterine bleeding? A systematic review

Is endometrial resection more effective than hysterectomy in improving quality of life and sexual function of patients with abnormal uterine bleeding? A systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

75. Immediate versus delayed catheter removal following hysterectomy: a systematic review and network meta-analysis

Immediate versus delayed catheter removal following hysterectomy: a systematic review and network meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

76. Systematic Review with Meta-Analysis: Hysterectomy, endometrial destruction and the levonorgestrel intrauterine system are all effective therapies for heavy menstrual bleeding; satisfaction rates are highest after hysterectomy

Systematic Review with Meta-Analysis: Hysterectomy, endometrial destruction and the levonorgestrel intrauterine system are all effective therapies for heavy menstrual bleeding; satisfaction rates are highest after hysterectomy Hysterectomy, endometrial destruction and the levonorgestrel intrauterine system are all effective therapies for heavy menstrual bleeding; satisfaction rates are highest after hysterectomy | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor (...) name or password? You are here Hysterectomy, endometrial destruction and the levonorgestrel intrauterine system are all effective therapies for heavy menstrual bleeding; satisfaction rates are highest after hysterectomy Article Text Therapeutics Systematic Review with Meta-Analysis Hysterectomy, endometrial destruction and the levonorgestrel intrauterine system are all effective therapies for heavy menstrual bleeding; satisfaction rates are highest after hysterectomy Ian S Fraser Statistics from

2011 Evidence-Based Medicine (Requires free registration)

77. A retrospective study of neoadjuvant chemotherapy plus radical hysterectomy versus radical hysterectomy alone in patients with stage II cervical squamous cell carcinoma presenting as a bulky mass (PubMed)

A retrospective study of neoadjuvant chemotherapy plus radical hysterectomy versus radical hysterectomy alone in patients with stage II cervical squamous cell carcinoma presenting as a bulky mass In order to evaluate the usefulness of neoadjuvant chemotherapy (NAC) for stage II cervical squamous cell carcinoma with a bulky mass, we retrospectively compared patients receiving NAC followed by radical hysterectomy (RH; NAC group) with patients who underwent RH without NAC (Ope group).The study

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2016 OncoTargets and therapy

78. Comment on “Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review” (PubMed)

Comment on “Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review” 27807491 2018 11 13 2090-6684 2016 2016 Case reports in obstetrics and gynecology Case Rep Obstet Gynecol Comment on "Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review". 7476150 Sorbi Flavia F 0000-0001-7277-6420 Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology

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2016 Case reports in obstetrics and gynecology

79. Vaginal Hysterectomy Versus Laparoscopically Assisted Vaginal Hysterectomy for Large Uteri

Vaginal Hysterectomy Versus Laparoscopically Assisted Vaginal Hysterectomy for Large Uteri Vaginal Hysterectomy Versus Laparoscopically Assisted Vaginal Hysterectomy for Large Uteri - 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. Vaginal Hysterectomy Versus Laparoscopically Assisted Vaginal Hysterectomy for Large Uteri 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. Read our for details. ClinicalTrials.gov Identifier: NCT02826304 Recruitment Status : Unknown Verified July 2016 by Ibrahim Mohamed Ibrahim Ali, Ain Shams Maternity Hospital. Recruitment

2016 Clinical Trials

80. Risk of Peripartum Hysterectomy and Center Hysterectomy and Delivery Volume. (PubMed)

Risk of Peripartum Hysterectomy and Center Hysterectomy and Delivery Volume. To characterize where women at risk for and undergoing peripartum hysterectomy delivered in terms of obstetric volume and procedural experience.We used data from the Perspective database to retrospectively evaluate trends in peripartum hysterectomy and deliveries at high risk of peripartum hysterectomy based on placenta previa and prior cesarean delivery delivered from 2006 through 2014. Hospitals were categorized two (...) separate ways for the analysis: 1) into five roughly equal quintiles based on annualized delivery volume and 2) by the mean number of hysterectomies performed annually over the study period.Four thousand eight hundred eleven hysterectomies occurred among 5,388,486 deliveries in 500 hospitals over the study period. The peripartum hysterectomy rate increased from 81.4 per 100,000 deliveries in 2006 to 98.4 in 2014. The prevalence rate of placenta previa in the setting of previous cesarean delivery also

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2016 Obstetrics and Gynecology

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