Vaginal vs abdominal hysterectomy

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Back to Hysterectomy. There are different types of hysterectomy. The operation you have will depend on the reason for surgery and how much of your womb and reproductive system can safely be left in place.

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Hysterectomy is surgery to remove the uterus. It is a very common type of surgery for women in the United States. Removing your uterus means that you can no longer become pregnant.

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Objective: To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. Methods: This was a prospective study of outcomes of consecutive patients who underwent total vaginal hysterectomy VH or abdominal hysterectomy AH for benign gynaecological diseases. Patient characteristics before, during, and after the operations were reviewed.

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Handbook of Gynecology pp Cite as. Vaginal hysterectomy is believed to have been first successfully performed in Most women requiring a hysterectomy are candidates for the vaginal approach, and it should always be considered as first-line approach to hysterectomy.

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Donna Baick says, is to understand the diagnosis and weigh your options, including what kind of procedure is the best for you. The American Congress of Obstetricians and Gynecologists ACOG says the safest, least invasive and most cost-effective way to remove a uterus for non-cancerous reasons is a vaginal hysterectomy, rather than laparoscopic or open surgery. Less than a fourth of all hysterectomies are performed vaginally, according to ACOG.

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Randomized clinical trials from centers specializing in endoscopic surgery have reported that laparoscopic hysterectomy is associated with a shorter hospital stay, less discomfort, and a faster return to normal activities than standard abdominal hysterectomy. These studies have been criticized because they were based on small, selected populations. Studies comparing vaginal and laparoscopic hysterectomy techniques generally have shown comparable results but longer operating times for the laparoscopic approaches.

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Too many hysterectomies are performed using a laparotomy incision. Increasing the use of vaginal and laparoscopic hysterectomy will improve surgical outcomes for US women. Hysterectomy for benign disease is a very effective operation to treat moderate to severe uterine bleeding or pain caused by uterine problems. There are 3 main surgical approaches to performing a hysterectomy: vaginal, laparoscopic, and abdominal.

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The ovaries, fallopian tubes, uterus, cervix and vagina vaginal canal make up the female reproductive system. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus. Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen.

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Jump to navigation. Cochrane authors evaluated which is the most effective and safe surgery for hysterectomy in women with benign gynaecological disease. It can be performed through several approaches. Abdominal hysterectomy involves removal of the uterus through an incision in the lower abdomen.


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