Vaginal hysterectomy for the enlarged uterus
| Autor: | Sharon Byun, Ozgur H. Harmanli, John P. Gaughan, Vani Dandolu, M. H. Terry Grody |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Time Factors medicine.medical_treatment Uterus Hemoglobins Postoperative Complications Risk Factors Hysterectomy Vaginal Medicine Humans Retrospective Studies Gynecology Uterine Diseases Vaginal route Hysterectomy business.industry Obstetrics Obstetrics and Gynecology Perioperative Organ Size medicine.anatomical_structure Reproductive Medicine In utero Hysterectomy vaginal Enlarged Uterus Female business |
| Zdroj: | Gynecologic and obstetric investigation. 61(1) |
| ISSN: | 0378-7346 |
| Popis: | Objective: To evaluate the effect of uterine weight on the perioperative outcomesof vaginal hysterectomy for benign gynecological conditions. Materials and Methods: The medical records of 312 consecutive women who underwent vaginal hysterectomies for benign gynecological conditions without major pelvic reconstruction at Temple University Hospital between March 1994 and August 1999were reviewed. 88 women with uterine weights ≧250 g were compared with 224 women with uterine weights Results: Groups were similar with respect to age, parity, history of previous pelvic surgery and concurrent adnexal removal. Operative time was significantly increased for women with uteri weighing ≧250 g. Women with uterine weight ≧250 g had a higher risk for postoperative febrile morbidity. The risks of all other major complications, perioperative change in hemoglobin concentration, length of stay, and readmission risk were not statistically different between the groups (p < 0.05). Conclusions: Despite the increased postoperative febrile morbidity and prolonged operative time, women with uteri weighing ≧250 g who underwent vaginal hysterectomy were discharged from the hospital without any increase in other complications when compared to women with a smaller uterus. |
| Databáze: | OpenAIRE |
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