Vaginal Hysterectomy for the Enlarged Uterus
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 pel...
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| Veröffentlicht in: | Gynecologic and obstetric investigation 2006-01, Vol.61 (1), p.4-8 |
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| container_title | Gynecologic and obstetric investigation |
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| creator | Harmanli, Ozgur H. Byun, Sharon Dandolu, Vani Gaughan, John P. Grody, M.H. Terry |
| description | 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 |
| doi_str_mv | 10.1159/000087563 |
| format | Article |
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Terry</creator><creatorcontrib>Harmanli, Ozgur H. ; Byun, Sharon ; Dandolu, Vani ; Gaughan, John P. ; Grody, M.H. Terry</creatorcontrib><description>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 <250 g. The risk of perioperative complications, operative time, perioperative hemoglobin change, length of postoperative hospital stay, and readmission were evaluated between the groups. 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.</description><identifier>ISSN: 0378-7346</identifier><identifier>EISSN: 1423-002X</identifier><identifier>DOI: 10.1159/000087563</identifier><identifier>PMID: 16110241</identifier><identifier>CODEN: GOBIDS</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Biological and medical sciences ; Female ; Gynecology. Andrology. Obstetrics ; Hemoglobins - metabolism ; Humans ; Hysterectomy, Vaginal ; Medical sciences ; Organ Size ; Original Article ; Postoperative Complications - epidemiology ; Retrospective Studies ; Risk Factors ; Time Factors ; Uterine Diseases - surgery ; Uterus - pathology ; Uterus - surgery</subject><ispartof>Gynecologic and obstetric investigation, 2006-01, Vol.61 (1), p.4-8</ispartof><rights>2006 S. Karger AG, Basel</rights><rights>2006 INIST-CNRS</rights><rights>Copyright 2006 S. Karger AG, Basel.</rights><rights>Copyright (c) 2006 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-6ec3949ed9e777db920bc4338ffdca198c235d91787db0f26d3d0bc9f08262163</citedby><cites>FETCH-LOGICAL-c360t-6ec3949ed9e777db920bc4338ffdca198c235d91787db0f26d3d0bc9f08262163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17433018$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16110241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harmanli, Ozgur H.</creatorcontrib><creatorcontrib>Byun, Sharon</creatorcontrib><creatorcontrib>Dandolu, Vani</creatorcontrib><creatorcontrib>Gaughan, John P.</creatorcontrib><creatorcontrib>Grody, M.H. Terry</creatorcontrib><title>Vaginal Hysterectomy for the Enlarged Uterus</title><title>Gynecologic and obstetric investigation</title><addtitle>Gynecol Obstet Invest</addtitle><description>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 <250 g. The risk of perioperative complications, operative time, perioperative hemoglobin change, length of postoperative hospital stay, and readmission were evaluated between the groups. 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.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal</subject><subject>Medical sciences</subject><subject>Organ Size</subject><subject>Original Article</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Uterine Diseases - surgery</subject><subject>Uterus - pathology</subject><subject>Uterus - surgery</subject><issn>0378-7346</issn><issn>1423-002X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0EtLw0AQB_BFFFurB8-CBEFBMLqPZB9HKdUKBS9WvIXtPmpqHnU3OeTbuyWhBecyh_kxw_wBuETwEaFUPMFQnKWUHIExSjCJIcRfx2AMCeMxIwkdgTPvNxAGzJNTMEIUIYgTNAYPn3KdV7KI5p1vjDOqqcsusrWLmm8TzapCurXR0TLMWn8OTqwsvLkY-gQsX2Yf03m8eH99mz4vYkUobGJqFBGJMFoYxpheCQxXKiGEW6uVRIIrTFItEONhCC2mmugghIUcU4womYC7fu_W1b-t8U1W5l6ZopCVqVufUUZRklIR4M0_uKlbF97xGcaEUSL4Dt33SLnae2dstnV5KV2XIZjt8sv2-QV7PSxsV6XRBzkEFsDtAKRXsrBOVir3B8fCnxDx4K5697ML0O1Bf-YPr-19uA</recordid><startdate>200601</startdate><enddate>200601</enddate><creator>Harmanli, Ozgur H.</creator><creator>Byun, Sharon</creator><creator>Dandolu, Vani</creator><creator>Gaughan, John P.</creator><creator>Grody, M.H. Terry</creator><general>Karger</general><general>S. Karger AG</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200601</creationdate><title>Vaginal Hysterectomy for the Enlarged Uterus</title><author>Harmanli, Ozgur H. ; Byun, Sharon ; Dandolu, Vani ; Gaughan, John P. ; Grody, M.H. Terry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-6ec3949ed9e777db920bc4338ffdca198c235d91787db0f26d3d0bc9f08262163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hemoglobins - metabolism</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal</topic><topic>Medical sciences</topic><topic>Organ Size</topic><topic>Original Article</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Uterine Diseases - surgery</topic><topic>Uterus - pathology</topic><topic>Uterus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harmanli, Ozgur H.</creatorcontrib><creatorcontrib>Byun, Sharon</creatorcontrib><creatorcontrib>Dandolu, Vani</creatorcontrib><creatorcontrib>Gaughan, John P.</creatorcontrib><creatorcontrib>Grody, M.H. 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Terry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaginal Hysterectomy for the Enlarged Uterus</atitle><jtitle>Gynecologic and obstetric investigation</jtitle><addtitle>Gynecol Obstet Invest</addtitle><date>2006-01</date><risdate>2006</risdate><volume>61</volume><issue>1</issue><spage>4</spage><epage>8</epage><pages>4-8</pages><issn>0378-7346</issn><eissn>1423-002X</eissn><coden>GOBIDS</coden><abstract>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 <250 g. The risk of perioperative complications, operative time, perioperative hemoglobin change, length of postoperative hospital stay, and readmission were evaluated between the groups. 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.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>16110241</pmid><doi>10.1159/000087563</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Female Gynecology. Andrology. Obstetrics Hemoglobins - metabolism Humans Hysterectomy, Vaginal Medical sciences Organ Size Original Article Postoperative Complications - epidemiology Retrospective Studies Risk Factors Time Factors Uterine Diseases - surgery Uterus - pathology Uterus - surgery |
| title | Vaginal Hysterectomy for the Enlarged Uterus |
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