Prophylactic Oophorectomy At The Time Of Hysterectomy For Benign Disease

Author: Rochelle Vatharajh
Editor:
ISBN:
File Size: 30,60 MB
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Hysterectomy For Benign Disease

Author: Mark D. Walters
Editor: Saunders
ISBN: 9781416062714
File Size: 50,94 MB
Format: PDF, Docs
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Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more. Case-based videos, narrated by the authors and with a professional voiceover introduction, take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more. Highly illustrated, quick-reference chapters discuss all of the possible diagnoses for which each procedure is indicated. Case studies describe the clinical history surrounding each case featured in the videos. Authoritative, step by step visual guidance, for the most frequently performed procedures.

Venous Thromboembolisms Following Laparoscopic Hysterectomy For Benign Disease In A Danish Cohort

Author: Pinar Bor
Editor:
ISBN:
File Size: 37,66 MB
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Problem statementPostoperative venous thromboembolism (VTE) is a common complication following gynaecologic procedures, particularly for women undergoing open surgery or with malignancy. However, there is limited knowledge about the risk of postoperative VTE after laparoscopic hysterectomy. Based on retrospective studies VTE risk appears to be present but low which has led authors to discuss whether thromboprophylaxis (TP) is indicated. Recommendations for TP in women undergoing minimally invasive gynaecologic surgery are not well established and to date there are no evidence-based guidelines that specifically provide recommendations to prevent VTE-events in this patient category. Consequently, gynaecologic departments in Denmark have different local guidelines.The aim of our project was to investigate the incidence of VTE and the current use of thromboprophylaxis in Danish women undergoing laparoscopic hysterectomy for benign disease.MethodsWomen who underwent hysterectomy for benign indication between January 1st 2015 and December 31st 2017 were included. The Danish Hysterectomy and Hysteroscopy Database (DHHD) and the DanishNational Patient Registry were used to collect relevant data concerning patient and operation characteristics, postoperative complications and thromboprophylaxis.Information about the current use of thromboprophylaxis in Denmark was retrieved through electronic surveys sent to all Gynecologic departments in Denmark reporting data to DHHD.ResultsOngoing study, preliminary results are presented. Out of 11731 hysterectomized women, 81% (n=9507) underwent minimally invasive hysterectomy in which 66% (n=7739) were laparoscopic. Pharmacologic TP was used in 86% (n=6646) of laparoscopic hysterectomies.Data from the electronic survey were provided by 25 Gynecologic departments in Denmark (83%). Eighty-eight percent gave TP to all patients, while 12% only to high risk patients. Pharmacological TP was used by 88%, most commonly used was Fragmin ranging in doses between 2500 and 5000 IE. Mechanical TP with perioperative thromboembolic- deterrent (TED)-stockings was used by 56%.Data concerning the incidence of VTE out of 7739 laparoscopic hysterectomies will be completed in November 2019.ConclusionOur preliminary results suggest that the majority of women undergoing laparoscopic hysterectomy in Denmark are given thromboprophylaxis. The type and dosage vary between departments.

Indications And Complications Of Total Abdominal Hysterectomy For Benign Disease Journal Of The Royal Medical Services 2012 Vol 19 No 3

Author: Vera Amarin
Editor:
ISBN:
File Size: 33,44 MB
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Hysterectomy And The Alternatives An Issue Of Obstetrics And Gynecology Clinics Of North America E Book

Author: John A. Occhino
Editor: Elsevier Health Sciences
ISBN: 0323462839
File Size: 40,87 MB
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The Guest Editors have created a comprehensive issue devoted to the most current and clinically relevant approach to hysterectomies and their alternatives. Top experts have written articles on the following topics: Alternatives to Hysterectomy: Management of Uterine Fibroids; Alternatives to Hysterectomy: Management of Menorrhagia; Hysterectomy for benign conditions of the uterus: Total Abdominal Hysterectomy; Hysterectomy for benign conditions of the uterus: Total Vaginal Hysterectomy; Hysterectomy for benign conditions of the uterus: Total Laparoscopic Hysterectomy/Laparoscopically Assisted Vaginal Hysterectomy; Hysterectomy for benign conditions of the uterus: Radical Hysterectomy Evidence basis for hysterectomy; Cesarean Hysterectomy; Management of ovaries at the time of benign Hysterectomy; Management of the peri- and postoperative patient undergoing hysterectomy; and Simulation and surgical competency: Current issues.

Hysterectomy For Benign Disease Female Pelvic Surgery Video Atlas Series

Author: Anthony P. Tizzano (M. D.)
Editor:
ISBN:
File Size: 50,28 MB
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Salpingectomy At The Time Of Hysterectomy For Benign Gynaecologic Disease A Comparison Of Surgical Approaches

Author: Helena Obermair
Editor:
ISBN:
File Size: 74,70 MB
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ObjectivesDue to a growing body of evidence demonstrating the involvement of the fallopian tubes in serous ovarian malignancies, prophylactic salpingectomy has been recommended to be discussed with or offered to patients undergoing hysterectomy for benign indications. This study aimed to compare rates of bilateral salpingectomy at the time of hysterectomy for benign indications across different surgical approaches.MethodsThis study was performed through a retrospective review of data collected for clinical audit via SurgicalPerformance, a web-based audit project which collects data from individual surgeons. Of 11477 hysterectomy records available, 6608 were eligible for analysis. ResultsDuring hysterectomy, salpingectomy was performed in in 3856 of 6608 cases (58%) overall. Based on surgical approach, salpingectomy occurred in 65% of cases using an open approach, 70% with laparoscopic approach, 78% with laparoscopic assisted vaginal hysterectomy, 73% with robotic, 73% with conversion to open and 13% with vaginal. There was a significant difference in the rates of salpingectomy during vaginal hysterectomy compared to other approaches (p=

Textbook Of Gynecologic Robotic Surgery

Author: Alaa El-Ghobashy
Editor: Springer
ISBN: 3319634291
File Size: 45,69 MB
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This book is not only a compilation of the knowledge and experiences of the best robotic surgeons around the world, but it has also incorporated the recent advances and updates in Gynaecological surgery. It is designed to provide a detailed guide to common robotic Gynaecologic procedures for the purpose of helping novice surgeons in their transition to robotic surgery and seasoned robotic surgeons to refine their surgical technique and expand their repertoire of robotic procedures. The descriptive, step-by-step, text is complimented by figures, intraoperative photographs and videos detailing the nuances of each procedure. Emphasis is placed on operative setup, instrument and equipment needs and surgical techniques for both the primary surgeon as well as the operative assistant. This volume will provide unique insights into robotic Gynaecologic surgery and reduce the learning curve of accomplishing these increasingly popular procedures.

Total Or Subtotal Hysterectomy For Benign Uterine Diseases

Author: Helga Gimbel
Editor:
ISBN:
File Size: 14,18 MB
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Technologies For The Treatment Of Menorrhagia And Uterine Nyomas

Author: Australian Institute Of Health And Welfare Staff
Editor:
ISBN: 9780644291682
File Size: 62,81 MB
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Menorrhagia and uterine myomas are two conditions that can afflict women during their reproductive years. Menorrhagia refers to excessively heavy bleeding, and excludes unexpected bleeding between menstrual periods. Uterine myomas, also known as fibroids, fibromyomas or leiomyomas, are benign tumours derived from smooth uterine muscle. Both conditions account for a significant proportion of the hysterectomies performed annually in Australia, with the abdominal approach being more commonly used to treat them than the vaginal approach. However, in recent years, alternatives to conventional hysterectomy have emerged. Hysteroscopic resection and laser ablation of the endometrium are becoming established, and another hysteroscopic technique, radiofrequency ablation, has been developed. Laparoscopic approaches to hysterectomy have emerged as part of the recent application of laparoscopy to abdominal and pelvic surgery following development and diffusion of laparoscopic cholecystectomy. In this report, alternative treatments for both conditions (i.e. menorrhagia and uterine myomas) are described, and their safety, effectiveness, costs, and stage of development are discussed. The potential impact of the new modalities on open hysterectomy is then considered. There has been considerable debate over many years about the appropriateness of hysterectomy for benign disease once childbearing is completed, with its consequential psychological and psychosocial effects on a woman--such as her perception of self. These issues have not been explored in any detail in this report, since it is intended as a technical assessment of complementary and competing technologies.

Outcomes Of Uterine Sarcoma Found Incidentally After Uterus Preserving Surgery For Presumed Benign Disease

Author: Abbotsford Abbotsford Press
Editor:
ISBN: 9781540587220
File Size: 18,96 MB
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The aims of this study were to evaluate the impact of initial uterus-preserving surgery, such as myomectomy or subtotal hysterectomy, on the recurrence rates of patients with uterine sarcoma found incidentally and to investigate the role of surgical re-exploration in this disease subset. Proceeds from the sale of this book go to support an elderly disabled person.

Variation In Nhs Utilisation Of Vault Cytology Post Hysterectomy

Author: Helen Jayne Stokes-Lampard
Editor:
ISBN:
File Size: 45,64 MB
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Hysterectomy is commonly performed but there is scant evidence concerning appropriate follow-up by vaginal vault cytology testing. This observational, retrospective cohort study, using routinely collected data, linked women's entire cervical screening histories with their operation details and subsequent vault cytology test results, to establish: Which women are having hysterectomies? What was the indication? Which were followed-up? How did they differ from those who were not? 6,141 women underwent hysterectomy; an incidence of 23/10,000 women/pa. 11.61% had malignancy, 3% had CIN and 82.9% had benign disease. Median age was 48 years; women were of greater deprivation and different ethnicity from the background population. Post-operatively 1,016 (16.5%) had vault cytology testing. Those having CIN at total hysterectomy should have vault cytology but only 63% had any; of these, less than 10% had it according to protocol. Many factors were associated with having vault cytology (younger, less deprived, non-benign diagnosis and abnormal index cytology) but few clinically meaningful. Only 2.9% of vault cytology tests were abnormal. Efforts to identify and eradicate inappropriate use of vault tests should swiftly lead to savings. Although national guidelines are targeting the right women, it is recommended that all vaginal vault cytology should be undertaken in secondary care hereafter.

Vaginal Hysterectomy

Author: Shirish S Sheth
Editor: JP Medical Ltd
ISBN: 9351521796
File Size: 40,90 MB
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New edition presenting recent advances and research in vaginal hysterectomy. Compares technique with alternative procedures. Previous edition published in 2001.

A Colour Atlas Of Gynaecological Surgery

Author: David H. Lees
Editor:
ISBN:
File Size: 53,76 MB
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Volume 2 of this colour atlas covers abdominal operations for benign conditions. Topics covered in other volumes are vaginal operations, operations for malignant disease, surgery of the vulva and lower genital tract, infertility surgery and surgery of conditions complicating pregnancy.

The Human Vagina

Author: Elsayed Saad Eldin Hafez
Editor: North-Holland
ISBN:
File Size: 34,33 MB
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Berek Novak S Gynecology

Author: Jonathan S. Berek
Editor: Lippincott Williams & Wilkins
ISBN: 9780781768054
File Size: 17,65 MB
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Thoroughly revised and updated, this comprehensive and general gynecological textbook provides guidance for the management of specific gynecological conditions.

Gynecologic Care

Author: Martin E. Olsen
Editor: Cambridge University Press
ISBN: 1107197635
File Size: 75,87 MB
Format: PDF
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Gynecologic Care provides comprehensive coverage for the essentials of gynecologic management. It is one in a three book series which covers the breadth of the obstetrics and gynecology specialty. The other books in the series are Obstetric Care and Office Care of Women.

Colposcopy E Book

Author: Barbara S. Apgar
Editor: Elsevier Health Sciences
ISBN: 1437720730
File Size: 11,70 MB
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The new edition of this popular, richly illustrated textbook and atlas features a top-notch, diverse editorial team who offer you the most current information and reliable guidance on all aspects of colposcopy. They present unparalleled coverage on the full range of topics, from basic science to clinical colposcopy to the latest information on anal disease and HPV infections in adolescents. More than 800 full-color, high-quality colpophotographs highlight all the variations seen in colposcopic practice and accompanying brief highlighted text further explains every concept. The book’s unique organization emphasizes the correlation among cytology, colposcopy, and histology to help you make the most accurate diagnosis Encompasses the expertise of first-class investigators and clinicians from a variety of disciplines, including family practice, obstetrics, pathology, and gynecology providing you with a wide range of options and perspectives. Presents side-by-side illustrations of colposcopy, cytology, and histology, making correlations easy to see and understand. Features relevant discussions and descriptive graphics to explore low and high-grade CIN and cancer and glandular lesions. Includes a list of key points at the end of each chapter that summarize essential information. Outlines all aspects of patient management, using practical, evidence-based algorithms for at-a-glance review. Features more than 50% new or replaced illustrations, providing higher-quality visual guidance. Presents best-evidence for the latest therapeutic guidelines and treatment options, so you can make better informed decisions. Provides new chapters on anal disease and HPV infections in adolescents to keep you on the cusp of the latest techniques and practices. Discusses the pitfalls and tricks of the trade of colposcopy to help you avoid complications. Includes a DVD of 9 video clips (30 minutes of footage) of procedures offering you step-by-step instructions on performing the colposcopy.

Hysterectomy

Author: Ibrahim Alkatout
Editor: Springer
ISBN: 3319224972
File Size: 28,51 MB
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This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.

Hysterectomy Reasons Methods And Alternatives

Author: Swedish Medical Research Council. MFR
Editor:
ISBN:
File Size: 28,27 MB
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The purpose of the conference was to reach consensus on important issues related to hysterectomy, and its alternatives, for treating benign diseases of the uterus. Consensus conference questions: 1) How common is hysterectomy, and why is it performed? 2) What are the current reasons for hysterectomy? 3) How should hysterectomy be performed? 4) What are the consequences of hysterectomy? 5) What other treatment methods are available, when should they be used, and what are their consequences? 6) What information should patients receive before making a decision about hysterectomy and later follow-up? 7) What are the economic consequences of different treatment alternatives? 8) What are the urgent research and education issues?