Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008
Introduction: The latest trends in the field of hysterectomy have brought a marked reduction in the rate of openabdominal hysterectomy. The number of minimally invasive procedures – vaginal and laparoscopic hysterectomies –has increased in many settings.Aim: This study evaluates the route of all hys...
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| Format: | Article |
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Termedia Publishing House
2010-03-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | http://www.termedia.pl/Original-paper-Choice-of-route-for-hysterectomy-8211-evaluation-of-procedures-performed-in-the-gynaecological-department-of-the-Tuchola-District-Hospital-from-2005-to-2008,42,14366,1,0.html |
| _version_ | 1823933490342658048 |
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| author | Krzysztof Klimczak Andrzej Malinowski Cezary Dejewski |
| author_facet | Krzysztof Klimczak Andrzej Malinowski Cezary Dejewski |
| author_sort | Krzysztof Klimczak |
| collection | DOAJ |
| description | Introduction: The latest trends in the field of hysterectomy have brought a marked reduction in the rate of openabdominal hysterectomy. The number of minimally invasive procedures – vaginal and laparoscopic hysterectomies –has increased in many settings.Aim: This study evaluates the route of all hysterectomies performed in the gynaecology department of the DistrictHospital in Tuchola, from 01.01.2005 to 31.12.2008. It is a follow-up study of the initial report published by the sameauthors in 2007, in ‘Przegląd Menopauzalny’.Material and methods: The authors analysed the percentage of hysterectomies performed via abdominal (AH), vaginal(VH) and laparoscopic access (LH) from 2005 to 2008, for benign diseases.Results: A ten-fold decrease (from 81.35% in 2005 to 7.24% in 2007) in the rate of abdominal hysterectomy (AH) andthree-fold increase in frequency of vaginal hysterectomy (VH), from 18.65% in 2005 to 60.71% in 2006, were observed.Use of laparoscopic hysterectomy (LH) increased from 36.24% in 2007 to 67.14% in 2008 – during 2 years from introductionof this procedure.Conclusions: 1. A two-fold decrease in the first year, from 81.35 to 39.29%, and ten-fold decrease in the next year, to 7.24%, in therate of abdominal hysterectomy (AH) was observed.2. Systematic physician training and proper patient qualification are followed by an increase in use of vaginal hysterectomy(VH) up to 60%.3. Conversion from laparoscopic hysterectomy to laparotomy and thermal injury to the ureter can occur in the beginningof the learning curve of LH. |
| first_indexed | 2024-12-16T22:06:24Z |
| format | Article |
| id | doaj.art-ceed3fdb9c4e4bceb1b3f589880b324a |
| institution | Directory Open Access Journal |
| issn | 1895-4588 |
| language | English |
| last_indexed | 2024-12-16T22:06:24Z |
| publishDate | 2010-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj.art-ceed3fdb9c4e4bceb1b3f589880b324a2022-12-21T22:14:28ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882010-03-01511418Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008Krzysztof KlimczakAndrzej MalinowskiCezary DejewskiIntroduction: The latest trends in the field of hysterectomy have brought a marked reduction in the rate of openabdominal hysterectomy. The number of minimally invasive procedures – vaginal and laparoscopic hysterectomies –has increased in many settings.Aim: This study evaluates the route of all hysterectomies performed in the gynaecology department of the DistrictHospital in Tuchola, from 01.01.2005 to 31.12.2008. It is a follow-up study of the initial report published by the sameauthors in 2007, in ‘Przegląd Menopauzalny’.Material and methods: The authors analysed the percentage of hysterectomies performed via abdominal (AH), vaginal(VH) and laparoscopic access (LH) from 2005 to 2008, for benign diseases.Results: A ten-fold decrease (from 81.35% in 2005 to 7.24% in 2007) in the rate of abdominal hysterectomy (AH) andthree-fold increase in frequency of vaginal hysterectomy (VH), from 18.65% in 2005 to 60.71% in 2006, were observed.Use of laparoscopic hysterectomy (LH) increased from 36.24% in 2007 to 67.14% in 2008 – during 2 years from introductionof this procedure.Conclusions: 1. A two-fold decrease in the first year, from 81.35 to 39.29%, and ten-fold decrease in the next year, to 7.24%, in therate of abdominal hysterectomy (AH) was observed.2. Systematic physician training and proper patient qualification are followed by an increase in use of vaginal hysterectomy(VH) up to 60%.3. Conversion from laparoscopic hysterectomy to laparotomy and thermal injury to the ureter can occur in the beginningof the learning curve of LH.http://www.termedia.pl/Original-paper-Choice-of-route-for-hysterectomy-8211-evaluation-of-procedures-performed-in-the-gynaecological-department-of-the-Tuchola-District-Hospital-from-2005-to-2008,42,14366,1,0.htmlabdominal hysterectomy (AH)vaginal hysterectomy (VH)laparoscopic assisted vaginal hysterectomy (LAVH)laparoscopic total hysterectomy (LTH)laparoscopic supracervical hysterectomy (LASH) |
| spellingShingle | Krzysztof Klimczak Andrzej Malinowski Cezary Dejewski Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 Videosurgery and Other Miniinvasive Techniques abdominal hysterectomy (AH) vaginal hysterectomy (VH) laparoscopic assisted vaginal hysterectomy (LAVH) laparoscopic total hysterectomy (LTH) laparoscopic supracervical hysterectomy (LASH) |
| title | Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 |
| title_full | Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 |
| title_fullStr | Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 |
| title_full_unstemmed | Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 |
| title_short | Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008 |
| title_sort | choice of route for hysterectomy evaluation of procedures performed in the gynaecological department of the tuchola district hospital from 2005 to 2008 |
| topic | abdominal hysterectomy (AH) vaginal hysterectomy (VH) laparoscopic assisted vaginal hysterectomy (LAVH) laparoscopic total hysterectomy (LTH) laparoscopic supracervical hysterectomy (LASH) |
| url | http://www.termedia.pl/Original-paper-Choice-of-route-for-hysterectomy-8211-evaluation-of-procedures-performed-in-the-gynaecological-department-of-the-Tuchola-District-Hospital-from-2005-to-2008,42,14366,1,0.html |
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