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Titolo:
Morbidity of 10,110 hysterectomies by type of approach
Autore:
Makinen, J; Johansson, J; Tomas, C; Tomas, E; Heinonen, PK; Laatikainen, T; Kauko, M; Heikkinen, AM; Sjoberg, J;
Indirizzi:
Turku Univ Hosp, Dept Obstet & Gynecol, FIN-20520 Turku, Finland Turku Univ Hosp Turku Finland FIN-20520 ynecol, FIN-20520 Turku, Finland Helsinki Univ Hosp, Dept Obstet & Gynecol, FIN-00290 Helsinki, Finland Helsinki Univ Hosp Helsinki Finland FIN-00290 IN-00290 Helsinki, Finland Kuopio Univ Hosp, Dept Obstet & Gynecol, FIN-70211 Kuopio, Finland Kuopio Univ Hosp Kuopio Finland FIN-70211 col, FIN-70211 Kuopio, Finland N Carelia Cent Hosp, Dept Obstet & Gynecol, Joensuu 80210, Finland N Carelia Cent Hosp Joensuu Finland 80210 ynecol, Joensuu 80210, Finland Helsinki City Matern Hosp, Dept Obstet & Gynecol, Helsinki 00610, Finland Helsinki City Matern Hosp Helsinki Finland 00610 Helsinki 00610, Finland Tampere Univ Hosp, Dept Obstet & Gynecol, FIN-33521 Tampere, Finland Tampere Univ Hosp Tampere Finland FIN-33521 , FIN-33521 Tampere, Finland Oulu Univ Hosp, Dept Obstet & Gynecol, FIN-90221 Oulu, Finland Oulu Univ Hosp Oulu Finland FIN-90221 & Gynecol, FIN-90221 Oulu, Finland
Titolo Testata:
HUMAN REPRODUCTION
fascicolo: 7, volume: 16, anno: 2001,
pagine: 1473 - 1478
SICI:
0268-1161(200107)16:7<1473:MO1HBT>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
ASSISTED VAGINAL HYSTERECTOMY; LAPAROSCOPIC HYSTERECTOMY; ABDOMINAL HYSTERECTOMY; COMPLICATIONS; OPERATIONS; WOMEN;
Keywords:
complication; epidemiology; gynaecology; hysterectomy; laparoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Makinen, J Turku Univ Hosp, Dept Obstet & Gynecol, FIN-20520 Turku, Finland Turku Univ Hosp Turku Finland FIN-20520 -20520 Turku, Finland
Citazione:
J. Makinen et al., "Morbidity of 10,110 hysterectomies by type of approach", HUM REPR, 16(7), 2001, pp. 1473-1478

Abstract

BACKGROUND: Since the late 1980s, the option of laparoscopic hysterectomy has raised questions about the most suitable approach to hysterectomy, METHODS: To evaluate the influence of the type of approach, in causing or avoiding certain complaints in hysterectomies a prospective nationwide study wasconducted comprising all hysterectomies for benign disease performed in Finland during 1996, The primary outcomes of interest were the operation-related morbidity, common surgical details and post-operative complications. RESULTS: A total of 10 110 hysterectomies, including 5875 abdominal, 1801 vaginal and 2434 laparoscopic operations showed a low rate of overall complications, 17.2, 23.3 and 19.0% respectively, Infections were the most common complications with incidences of 10.5, 13.0 and 9.0% in the abdominal, vaginal and laparoscopic group respectively, The most severe type of haemorrhagic events occurred in 2.1, 3.1 and 2.7% in the abdominal, vaginal and laparoscopic group respectively. Ureter injuries were predominant in laparoscopicgroup [relative risk (RR) 7.2 compared with abdominal] whereas bowel injuries were most common in vaginal group (RR 2.5 compared with abdominal). Surgeons who had performed > 30 laparoscopic hysterectomies had a significantly lower incidence of ureter and bladder injuries (0.5 and 0.8% respectively) than those who had performed less than or equal to 30 operations (2.2 and2.0% respectively). A decreasing trend of bowel complications was also seen with increasing experience in vaginal hysterectomies. CONCLUSIONS: This large-scale observational study on hysterectomies provides novel informationon operation-related morbidity of abdominal, vaginal or laparoscopic approach. The results support the importance of the experience of the surgeon inreducing severe complications, especially in laparoscopic and vaginal hysterectomies.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 06:32:07