Long-term risk of adnexal operation after vaginal hysterectomy for pelvic organs prolapse repair.

Autor: Geron Y; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel. Electronic address: yosgeron@gmail.com., From A; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel., Matot R; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel., Peled Y; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel., Eitan R; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel., Krissi H; Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva 4941492, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2024 Mar; Vol. 294, pp. 1-3. Date of Electronic Publication: 2023 Dec 17.
DOI: 10.1016/j.ejogrb.2023.12.026
Abstrakt: Objective: To determine if women who undergo vaginal hysterectomy for pelvic floor prolapse repair without concomitant opportunistic bilateral salpingo-oophorectomy are at increased risk of further complications related to the remaining adnexa later in life.
Study Design: The database of a tertiary university medical center was searched for all women who underwent vaginal hysterectomy as part of the treatment for pelvic organ prolapse, without opportunistic adnexectomy, from 2006 to 2015 to provide adequate time for long-term evaluation. Demographic and clinical data including surgeries performed during the long-term follow-up were collected from all medical insurer electronic medical records.
Results: The cohort included 427 women of mean age 63 ± 9.3 years; 90.9 % were postmenopausal. Mean duration of follow-up was 10.7 ± 2.6 years. During the follow-up period, only 3 patients (0.7 %) were re-operated for left adnexal pathology, non-malignant in all cases.
Conclusion: In women undergoing vaginal hysterectomy for pelvic organ prolapse without opportunistic adnexectomy, preservation of the adnexa poses only a very low risk for adnexal pathology or need for reoperation later in life.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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