Factors influencing the choice of hysterectomy approach for the management of fibroid uterus
Aim: The aim of this study was to identify factors influencing the choice between different approaches in hysterectomy for uterine fibroids. Methods: A cross-sectional study was conducted involving 285 women who had undergone hysterectomy for uterine fibroids at the Liverpool Hospital, New South Wal...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2013-05-01
|
| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213307013000269 |
| _version_ | 1811204670191828992 |
|---|---|
| author | Felix Wu Shun Wong Danforn Chi Eung Lim |
| author_facet | Felix Wu Shun Wong Danforn Chi Eung Lim |
| author_sort | Felix Wu Shun Wong |
| collection | DOAJ |
| description | Aim: The aim of this study was to identify factors influencing the choice between different approaches in hysterectomy for uterine fibroids.
Methods: A cross-sectional study was conducted involving 285 women who had undergone hysterectomy for uterine fibroids at the Liverpool Hospital, New South Wales, Australia.
Results: This study shows that several factors influenced the choice of hysterectomy approach. First, concomitant adnexal surgery increased the likelihood of undergoing an abdominal hysterectomy rather than either a vaginal or a laparoscopic hysterectomy by 10- and fivefold (both p < 0.01), respectively. Second, women with a larger uterus (>280 g) had a 20 (p < 0.05) and 10 (p < 0.01) times greater chance of undergoing an abdominal hysterectomy than either a vaginal or a laparoscopic hysterectomy, respectively. Third, gynecologic endoscopists were more likely to perform laparoscopic hysterectomy than gynecologic generalists (p < 0.001).
Conclusion: Certain clinical parameters determine the choice of hysterectomy approach. Surgeons' expertise also has significant influence over the choice between laparoscopic and traditional approaches for hysterectomy. |
| first_indexed | 2024-04-12T03:16:25Z |
| format | Article |
| id | doaj.art-6b315fe9c4904e238e2deee18c14fa58 |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-04-12T03:16:25Z |
| publishDate | 2013-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-6b315fe9c4904e238e2deee18c14fa582022-12-22T03:50:04ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702013-05-0122616410.1016/j.gmit.2013.02.004Factors influencing the choice of hysterectomy approach for the management of fibroid uterusFelix Wu Shun Wong0Danforn Chi Eung Lim1Department of Obstetrics and Gynecology, University of New South Wales, Liverpool Health Services, Liverpool, 2170, AustraliaDivision of Women's and Child Health, Liverpool Health Service, Liverpool, 2170, AustraliaAim: The aim of this study was to identify factors influencing the choice between different approaches in hysterectomy for uterine fibroids. Methods: A cross-sectional study was conducted involving 285 women who had undergone hysterectomy for uterine fibroids at the Liverpool Hospital, New South Wales, Australia. Results: This study shows that several factors influenced the choice of hysterectomy approach. First, concomitant adnexal surgery increased the likelihood of undergoing an abdominal hysterectomy rather than either a vaginal or a laparoscopic hysterectomy by 10- and fivefold (both p < 0.01), respectively. Second, women with a larger uterus (>280 g) had a 20 (p < 0.05) and 10 (p < 0.01) times greater chance of undergoing an abdominal hysterectomy than either a vaginal or a laparoscopic hysterectomy, respectively. Third, gynecologic endoscopists were more likely to perform laparoscopic hysterectomy than gynecologic generalists (p < 0.001). Conclusion: Certain clinical parameters determine the choice of hysterectomy approach. Surgeons' expertise also has significant influence over the choice between laparoscopic and traditional approaches for hysterectomy.http://www.sciencedirect.com/science/article/pii/S2213307013000269Clinical parameterHysterectomyRisk factorsSurgeon's expertiseUterine fibroids |
| spellingShingle | Felix Wu Shun Wong Danforn Chi Eung Lim Factors influencing the choice of hysterectomy approach for the management of fibroid uterus Gynecology and Minimally Invasive Therapy Clinical parameter Hysterectomy Risk factors Surgeon's expertise Uterine fibroids |
| title | Factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| title_full | Factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| title_fullStr | Factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| title_full_unstemmed | Factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| title_short | Factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| title_sort | factors influencing the choice of hysterectomy approach for the management of fibroid uterus |
| topic | Clinical parameter Hysterectomy Risk factors Surgeon's expertise Uterine fibroids |
| url | http://www.sciencedirect.com/science/article/pii/S2213307013000269 |
| work_keys_str_mv | AT felixwushunwong factorsinfluencingthechoiceofhysterectomyapproachforthemanagementoffibroiduterus AT danfornchieunglim factorsinfluencingthechoiceofhysterectomyapproachforthemanagementoffibroiduterus |