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Hysterectomy

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81. 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

82. 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

83. 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

84. Laparoscopic hysterectomy with morcellation versus abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 FDA Safety Communications. (PubMed)

Laparoscopic hysterectomy with morcellation versus abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 FDA Safety Communications. Previous decision analyses demonstrate the safety of minimally invasive hysterectomy for presumed benign fibroids, accounting for the risk of occult leiomyosarcoma and the differential mortality risk associated with laparotomy. Studies published since the 2014 Food and Drug Administration safety communications offer updated (...) leiomyosarcoma incidence estimates. Incorporating these studies suggests that mortality rates are low following hysterectomy for presumed benign fibroids overall, and a minimally invasive approach remains a safe option. Risk associated with morcellation, however, increases in women age >50 years due to increased leiomyosarcoma rates, an important finding for patient-centered discussions of treatment options for fibroids.Copyright © 2016 Elsevier Inc. All rights reserved.

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2016 American Journal of Obstetrics and Gynecology

85. Nerve-sparing radical hysterectomy versus conventional radical hysterectomy in early-stage cervical cancer. A systematic review and meta-analysis of survival and quality of life. (PubMed)

Nerve-sparing radical hysterectomy versus conventional radical hysterectomy in early-stage cervical cancer. A systematic review and meta-analysis of survival and quality of life. Survival after radical hysterectomy (RH) for early-stage cervical cancer is good. Hence quality of life (QOL) after treatment is an important issue. Nerve-sparing radical hysterectomy (NSRH) improves QOL by selectively sparing innervation of bladder, bowel and vagina, reducing therapy-induced morbidity. However

2016 Maturitas

86. Total laparoscopic hysterectomy versus vaginal hysterectomy: a systematic review and meta-analysis. (PubMed)

Total laparoscopic hysterectomy versus vaginal hysterectomy: a systematic review and meta-analysis. Hysterectomies performed laparoscopically have greatly increased within the last few decades and even exceed the number of vaginal hysterectomies (VHs). This systematic review, conducted according to the Meta-analysis of Observational Studies in Epidemiology guidelines, compares surgical outcomes of total laparoscopic hysterectomy (TLH) and VH to evaluate which approach offers the most benefits (...) associated with greater benefits, such as shorter operative time, lower rate of vaginal dehiscence and conversion to laparotomy, and lower costs. Many factors influence the choice for surgical approach to hysterectomy, and shared decision-making is recommended.Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

2016 Journal of minimally invasive gynecology

87. Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis. (PubMed)

Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis. Radical hysterectomy (RH) for the treatment of cervical cancer frequently caused pelvic organ dysfunctions. This study aimed to compare the results of pelvic organ function and recurrence rate after Nerve sparing radical hysterectomy (NSRH) and RH treatment through systematic review and meta-analysis.PubMed, Web of Science and China Knowledge Resource Integrated Database were (...) searched from inception to 25 February 2015. Studies of cervical cancer which reported radical hysterectomy or nerve sparing radical hysterectomy were included. The quality of included studies was evaluated using the guidelines of Cochrane Handbook for Systematic Reviews of Interventions. Statistical analysis was performed using Review Manager 5.3 software (Cochrane Collaboration).A total of 20 studies were finally included. Meta-analysis demonstrated that NSRH was associated with less bladder

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2016 Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology

88. Response to the “Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures” by Prof. Rudy Leon De Wilde (PubMed)

Response to the “Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures” by Prof. Rudy Leon De Wilde 27134290 2018 11 13 0016-5751 76 4 2016 Apr Geburtshilfe und Frauenheilkunde Geburtshilfe Frauenheilkd Response to the "Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures" by Prof. Rudy Leon De Wilde. 367-368 Neis K J KJ Klinik für

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2016 Geburtshilfe Und Frauenheilkunde

89. Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures (PubMed)

Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures 27134289 2018 11 13 0016-5751 76 4 2016 Apr Geburtshilfe und Frauenheilkunde Geburtshilfe Frauenheilkd Comment on the New DGGG AWMF S3-Guideline on Hysterectomy, or a Plea for LAVH as the Gold Standard for Total Hysterectomy Procedures. 365-366 De Wilde R L RL Director of the Klinik für Frauenheilkunde, Geburtshilfe und Gynäkologische Onkologie, Universitätsklinik

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2016 Geburtshilfe Und Frauenheilkunde

90. Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and of abdominal hysterectomies: a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China (PubMed)

Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and of abdominal hysterectomies: a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China To evaluate the short-term and long-term outcomes after laparoscopic hysterectomy (LH) compared with abdominal hysterectomy (AH) in case of benign gynecological disease.A multi-center cohort retrospective comparative study of population among 4,895 hysterectomies (3,539 LH vs.1,356 AH) between 2007

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2016 Chinese Journal of Cancer Research

91. Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review (PubMed)

Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review The objective of this paper is to propose minilaparotomy hysterectomy as the suitable choice for large uterus on the basis of our experienced case of performed minilaparotomy hysterectomy to 4,500 g myoma uteri and review published cases about this clinical condition. We presented a 44-year-old woman (gravida 0, virgin) who consulted our hospital because of the chief complaints of abnormal (...) genital bleeding and hypermenorrhea. Transabdominal ultrasonography revealed that abdominal solid tumor reached over the navel. Her tumor was an indication of surgery; to do minilaparotomy hysterectomy with laparoscope was decided because her informed consent was obtained. A 6 cm transverse incision (Maylard incision) was made to the skin above the pubic hairline. At the end of surgery, the length of abdominal wound was 8.5 cm, operating time was 128 min, weight of resected myoma uteri was 4,500 g

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2016 Case reports in obstetrics and gynecology

92. The End of the Hysterectomy Epidemic and Endometrial Cancer Incidence: What Are the Unintended Consequences of Declining Hysterectomy Rates? (PubMed)

The End of the Hysterectomy Epidemic and Endometrial Cancer Incidence: What Are the Unintended Consequences of Declining Hysterectomy Rates? Population-level cancer incidence rates are one measure to estimate the cancer burden. The goal is to provide information on trends to measure progress against cancer at the population level and identify emerging patterns signifying increased risk for additional research and intervention. Endometrial cancer is the most common of the gynecologic (...) malignancies but capturing the incidence of disease among women at risk (i.e., women with a uterus) is challenging and not routinely published. Decreasing rates of hysterectomy increase the number of women at risk for disease, which should be reflected in the denominator of the incidence rate calculation. Furthermore, hysterectomy rates vary within the United States by multiple factors including geographic location, race, and ethnicity. Changing rates of hysterectomy are important to consider when looking

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2016 Frontiers in oncology

93. A Comparison Between Non-Descent Vaginal Hysterectomy and Total Abdominal Hysterectomy. (PubMed)

A Comparison Between Non-Descent Vaginal Hysterectomy and Total Abdominal Hysterectomy. Hysterectomy is one of the most common gyneacological surgeries performed worldwide. The vaginal technique has been introduced and performed centuries back, but has been less successful due to lack of experience and enthusiasm among Gynaecologists, due to a misconception that the abdominal route is safer and easier.To evaluate the most efficient route of hysterectomy in women with mobile nonprolapsed uteri (...) of 12 weeks or lesser by comparing the intra and postoperative complications of vaginal and abdominal hysterectomies.A prospective, randomized controlled trial was performed wherein, 300 consecutive patients requiring hysterectomy for benign diseases were analysed over a period of 2 years (December 2012-November 2014). Group A (n = 150) underwent vaginal hysterectomy (non descent vaginal hysterectomy, NDVH) which was compared with group B (n = 150) who had abdominal hysterectomy. The primary outcome

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2016 Journal of clinical and diagnostic research : JCDR Controlled trial quality: uncertain

94. The Association between hysterectomy and ovarian cancer risk: A population-based record-linkage study. (PubMed)

The Association between hysterectomy and ovarian cancer risk: A population-based record-linkage study. Recent studies have called into question the long-held belief that hysterectomy without oophorectomy protects against ovarian cancer. This population-based longitudinal record-linkage study aimed to explore this relationship, overall and by age at hysterectomy, time period, surgery type, and indication for hysterectomy.We followed the female adult Western Australian population (837,942 women (...) ) across a 27-year period using linked electoral, hospital, births, deaths, and cancer records. Surgery dates were determined from hospital records, and ovarian cancer diagnoses (n = 1,640) were ascertained from cancer registry records. We used Cox regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between hysterectomy and ovarian cancer incidence.Hysterectomy without oophorectomy (n = 78,594) was not associated with risk of invasive ovarian cancer overall

2019 Journal of the National Cancer Institute

95. Increased the risk of osteoporosis with hysterectomy: A longitudinal follow-up study using a national sample cohort. (PubMed)

Increased the risk of osteoporosis with hysterectomy: A longitudinal follow-up study using a national sample cohort. Premenopausal hysterectomy is associated with a decreased ovarian reserve, follicular atresia, and subsequently reduced long-term estrogen secretion. Therefore, women who undergo hysterectomy will experience greater gradual bone mineral loss than women with an intact uterus and have an increased risk of osteoporosis.This study aimed to evaluate the association between (...) hysterectomy without/with bilateral oophorectomy (BO) and the occurrence of osteoporosis using a national sample cohort from South Korea.Using the national cohort study from the Korean National Health Insurance Service, we extracted data for patients who had undergone hysterectomy (n = 9,082) and for a 1:4 matched control group (n = 36,328) and then analyzed the occurrence of osteoporosis. The patients were matched according to age, sex, income, region of residence, and past medical history. A Cox

2019 American Journal of Obstetrics and Gynecology

96. Hysterectomy - who should be trained to do it? (PubMed)

Hysterectomy - who should be trained to do it? 30739327 2019 02 27 1600-0412 2019 Feb 10 Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Hysterectomy-Who should be trained to do it? 10.1111/aogs.13571 Rudnicki Martin M http://orcid.org/0000-0002-5115-1445 Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark. van Trappen Philippe P Department of Obstetrics and Gynaecology, Sint Jan Hospitals Bruges-Ostende AV, Bruges, Belgium. van Kesteren

2019 Acta Obstetricia et Gynecologica Scandinavica

97. Cystoscopy at the time of benign hysterectomy: A decision analysis. (PubMed)

Cystoscopy at the time of benign hysterectomy: A decision analysis. Gynecologists debate the optimal use for intraoperative cystoscopy at the time of benign hysterectomy. Although adding cystoscopy leads to additional up-front cost, it may also enable intraoperative detection of a urinary tract injury that may otherwise go unnoticed. Prompt injury detection and intraoperative repair decreases morbidity and is less costly than postoperative diagnosis and treatment. Since urinary tract injury (...) is rare and not easily studied in a prospective fashion, decision analysis provides a method for evaluating the cost associated with varying strategies for use of cystoscopy.To quantify costs of routine cystoscopy, selective cystoscopy, or no cystoscopy with benign hysterectomy.We created a decision analysis model using TreeAge Pro. Separate models evaluated cystoscopy following abdominal, laparoscopic/robotic, and vaginal hysterectomy from the perspective of a third party payer. We modeled bladder

2019 American Journal of Obstetrics and Gynecology

98. Efficacy of robotic radical hysterectomy for cervical cancer compared with that of open and laparoscopic surgery: A separate meta-analysis of high-quality studies. (PubMed)

Efficacy of robotic radical hysterectomy for cervical cancer compared with that of open and laparoscopic surgery: A separate meta-analysis of high-quality studies. To perform a meta-analysis of high-quality studies comparing robotic radical hysterectomy (RRH) vs laparoscopic radical hysterectomy (LRH), and open radical hysterectomy (ORH) for the treatment of cervical cancer.A systematic search of PubMed, Embase, Cochrane Library, and Web of Science was performed to identify studies

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2019 Medicine

99. Comparison of survival outcomes between minimally invasive surgery and conventional open surgery for radical hysterectomy as primary treatment in patients with stage IB1-IIA2 cervical cancer. (PubMed)

Comparison of survival outcomes between minimally invasive surgery and conventional open surgery for radical hysterectomy as primary treatment in patients with stage IB1-IIA2 cervical cancer. To compare survival outcomes of minimally invasive surgery (MIS) and conventional open surgery for radical hysterectomy (RH) among patients with early-stage cervical cancer (CC).We retrospectively identified stage IB1-IIA2 CC patients who underwent either laparoscopic or open Type C RH between 2000

2019 Gynecologic Oncology

100. Total hysterectomy versus uterine evacuation for preventing post-molar gestational trophoblastic neoplasia in patients who are at least 40 years old: a systematic review and meta-analysis. (PubMed)

Total hysterectomy versus uterine evacuation for preventing post-molar gestational trophoblastic neoplasia in patients who are at least 40 years old: a systematic review and meta-analysis. The clinical value of total hysterectomy for patients with hydatidiform mole (HM) being at least 40 years old remains highly controversial. Since the practice of hysterectomy has been applied globally for decades, there is an urgent need to perform a systematic review to assess its risks and benefits.Six (...) electronic databases, including four English databases and one Chinese database, were searched from the inception of each database till October 6th 2017. Studies were included if they: 1) were human studies, 2) explicitly indicated exposure to hysterectomy, 3) explicitly indicated control to uterine evacuation, 4) explicitly indicated the participants were older patients with HM being at least 40 years in age, 5) compared the outcome of interest as the incidence of post-molar GTN. Two authors

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2019 BMC Cancer

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