Guidelines for the selection of the route of hysterectomy: Application in a resident clinic population
Objective: The purpose of this study was to evaluate the effectiveness of the Society of Pelvic Reconstructive Surgeons guidelines for the determination of the route of hysterectomy in a resident clinic population. Study design: A total of 407 consecutive women from the resident clinic population at...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2002-12, Vol.187 (6), p.1521-1527 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Kovac, S.Robert Barhan, Sheela Lister, Margit Tucker, Lori Bishop, Mardi Das, Adrija |
| description | Objective: The purpose of this study was to evaluate the effectiveness of the Society of Pelvic Reconstructive Surgeons guidelines for the determination of the route of hysterectomy in a resident clinic population. Study design: A total of 407 consecutive women from the resident clinic population at Wright State University between October 1, 1994, and December 31, 1999, were assigned prospectively to abdominal or vaginal hysterectomy groups according to Society of Pelvic Reconstructive Surgeons guidelines. The women's age, race, and preoperative and postoperative uterine weights, length of stay, laparoscopic scores, operative time, and complications were compared. Results: Vaginal hysterectomy was completed successfully in 91.8% of the women. As expected, vaginal hysterectomy required the shortest operative time and length of stay and was associated with fewer complications than the abdominal approach (P |
| doi_str_mv | 10.1067/mob.2002.129165 |
| format | Article |
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Study design: A total of 407 consecutive women from the resident clinic population at Wright State University between October 1, 1994, and December 31, 1999, were assigned prospectively to abdominal or vaginal hysterectomy groups according to Society of Pelvic Reconstructive Surgeons guidelines. The women's age, race, and preoperative and postoperative uterine weights, length of stay, laparoscopic scores, operative time, and complications were compared. Results: Vaginal hysterectomy was completed successfully in 91.8% of the women. As expected, vaginal hysterectomy required the shortest operative time and length of stay and was associated with fewer complications than the abdominal approach (P <.01). Laparoscopic assistance was necessary in 25.8% of patients to assess extrauterine disease. Conclusion: Resident physicians who followed the practice guidelines reduced the ratio of abdominal-to-vaginal hysterectomy from 3:1 to 1:11. The application of practice guidelines for the selection of the route of hysterectomy can increase the ratio of vaginal hysterectomies that are performed in residency programs and can help eradicate inconsistencies in health care delivery that exist currently. (Am J Obstet Gynecol 2002;187:1521-7.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2002.129165</identifier><identifier>PMID: 12501056</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>abdominal ; Adult ; Biological and medical sciences ; Evidence-Based Medicine ; Female ; Genital Diseases, Female - pathology ; Genital Diseases, Female - surgery ; guidelines ; Humans ; Hysterectomy ; Hysterectomy - methods ; Hysterectomy, Vaginal - methods ; Internship and Residency ; laparoscopic ; Laparoscopy ; Length of Stay ; Medical sciences ; Postoperative Complications - epidemiology ; Practice Guidelines as Topic ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Time Factors ; Uterine Diseases - pathology ; Uterine Diseases - surgery ; Uterus - pathology ; vaginal</subject><ispartof>American journal of obstetrics and gynecology, 2002-12, Vol.187 (6), p.1521-1527</ispartof><rights>2002</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-fc000300d403aba51b9e62fd8a11854c6624ce1eed706564de043562b5a392573</citedby><cites>FETCH-LOGICAL-c373t-fc000300d403aba51b9e62fd8a11854c6624ce1eed706564de043562b5a392573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mob.2002.129165$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,778,782,787,788,3539,23917,23918,25127,27911,27912,45982</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14430090$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12501056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kovac, S.Robert</creatorcontrib><creatorcontrib>Barhan, Sheela</creatorcontrib><creatorcontrib>Lister, Margit</creatorcontrib><creatorcontrib>Tucker, Lori</creatorcontrib><creatorcontrib>Bishop, Mardi</creatorcontrib><creatorcontrib>Das, Adrija</creatorcontrib><title>Guidelines for the selection of the route of hysterectomy: Application in a resident clinic population</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: The purpose of this study was to evaluate the effectiveness of the Society of Pelvic Reconstructive Surgeons guidelines for the determination of the route of hysterectomy in a resident clinic population. Study design: A total of 407 consecutive women from the resident clinic population at Wright State University between October 1, 1994, and December 31, 1999, were assigned prospectively to abdominal or vaginal hysterectomy groups according to Society of Pelvic Reconstructive Surgeons guidelines. The women's age, race, and preoperative and postoperative uterine weights, length of stay, laparoscopic scores, operative time, and complications were compared. Results: Vaginal hysterectomy was completed successfully in 91.8% of the women. As expected, vaginal hysterectomy required the shortest operative time and length of stay and was associated with fewer complications than the abdominal approach (P <.01). Laparoscopic assistance was necessary in 25.8% of patients to assess extrauterine disease. Conclusion: Resident physicians who followed the practice guidelines reduced the ratio of abdominal-to-vaginal hysterectomy from 3:1 to 1:11. The application of practice guidelines for the selection of the route of hysterectomy can increase the ratio of vaginal hysterectomies that are performed in residency programs and can help eradicate inconsistencies in health care delivery that exist currently. (Am J Obstet Gynecol 2002;187:1521-7.)</description><subject>abdominal</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Evidence-Based Medicine</subject><subject>Female</subject><subject>Genital Diseases, Female - pathology</subject><subject>Genital Diseases, Female - surgery</subject><subject>guidelines</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - methods</subject><subject>Hysterectomy, Vaginal - methods</subject><subject>Internship and Residency</subject><subject>laparoscopic</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Postoperative Complications - epidemiology</subject><subject>Practice Guidelines as Topic</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Time Factors</subject><subject>Uterine Diseases - pathology</subject><subject>Uterine Diseases - surgery</subject><subject>Uterus - pathology</subject><subject>vaginal</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAURYMoOo6u3Uk2uuuYjyZt3MmgoyC40XVI01eMtE1NWmH-venMgCtX4eWeXF4OQleUrCiRxV3nqxUjhK0oU1SKI7SgRBWZLGV5jBYkJZniRXmGzmP8mkem2Ck6o0wQSoRcoGYzuRpa10PEjQ94_AQcoQU7Ot9j3-wugp9GmIfPbRwhpNB323v8MAyts2ZHuh4bHCCmsn7ENhU6iwc_TO0uv0AnjWkjXB7OJfp4enxfP2evb5uX9cNrZnnBx6yxaUdOSJ0TbiojaKVAsqYuDaWlyK2ULLdAAeqCSCHzGkjOhWSVMFwxUfAlut33DsF_TxBH3blooW1ND36KumCF4oqXCbzbgzb4GAM0egiuM2GrKdGzWp3U6lmt3qtNL64P1VPVQf3HH1wm4OYAmGhN2wTTWxf_uDxPP1MkcWrPQRLx4yDoaB30Fmo3q9W1d_8u8QsgyJUQ</recordid><startdate>20021201</startdate><enddate>20021201</enddate><creator>Kovac, S.Robert</creator><creator>Barhan, Sheela</creator><creator>Lister, Margit</creator><creator>Tucker, Lori</creator><creator>Bishop, Mardi</creator><creator>Das, Adrija</creator><general>Mosby, Inc</general><general>Elsevier</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>7X8</scope></search><sort><creationdate>20021201</creationdate><title>Guidelines for the selection of the route of hysterectomy: Application in a resident clinic population</title><author>Kovac, S.Robert ; Barhan, Sheela ; Lister, Margit ; Tucker, Lori ; Bishop, Mardi ; Das, Adrija</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-fc000300d403aba51b9e62fd8a11854c6624ce1eed706564de043562b5a392573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>abdominal</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Evidence-Based Medicine</topic><topic>Female</topic><topic>Genital Diseases, Female - pathology</topic><topic>Genital Diseases, Female - surgery</topic><topic>guidelines</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - methods</topic><topic>Hysterectomy, Vaginal - methods</topic><topic>Internship and Residency</topic><topic>laparoscopic</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Postoperative Complications - epidemiology</topic><topic>Practice Guidelines as Topic</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Time Factors</topic><topic>Uterine Diseases - pathology</topic><topic>Uterine Diseases - surgery</topic><topic>Uterus - pathology</topic><topic>vaginal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kovac, S.Robert</creatorcontrib><creatorcontrib>Barhan, Sheela</creatorcontrib><creatorcontrib>Lister, Margit</creatorcontrib><creatorcontrib>Tucker, Lori</creatorcontrib><creatorcontrib>Bishop, Mardi</creatorcontrib><creatorcontrib>Das, Adrija</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kovac, S.Robert</au><au>Barhan, Sheela</au><au>Lister, Margit</au><au>Tucker, Lori</au><au>Bishop, Mardi</au><au>Das, Adrija</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Guidelines for the selection of the route of hysterectomy: Application in a resident clinic population</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2002-12-01</date><risdate>2002</risdate><volume>187</volume><issue>6</issue><spage>1521</spage><epage>1527</epage><pages>1521-1527</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: The purpose of this study was to evaluate the effectiveness of the Society of Pelvic Reconstructive Surgeons guidelines for the determination of the route of hysterectomy in a resident clinic population. Study design: A total of 407 consecutive women from the resident clinic population at Wright State University between October 1, 1994, and December 31, 1999, were assigned prospectively to abdominal or vaginal hysterectomy groups according to Society of Pelvic Reconstructive Surgeons guidelines. The women's age, race, and preoperative and postoperative uterine weights, length of stay, laparoscopic scores, operative time, and complications were compared. Results: Vaginal hysterectomy was completed successfully in 91.8% of the women. As expected, vaginal hysterectomy required the shortest operative time and length of stay and was associated with fewer complications than the abdominal approach (P <.01). Laparoscopic assistance was necessary in 25.8% of patients to assess extrauterine disease. Conclusion: Resident physicians who followed the practice guidelines reduced the ratio of abdominal-to-vaginal hysterectomy from 3:1 to 1:11. The application of practice guidelines for the selection of the route of hysterectomy can increase the ratio of vaginal hysterectomies that are performed in residency programs and can help eradicate inconsistencies in health care delivery that exist currently. (Am J Obstet Gynecol 2002;187:1521-7.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>12501056</pmid><doi>10.1067/mob.2002.129165</doi><tpages>7</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2002-12, Vol.187 (6), p.1521-1527 |
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| subjects | abdominal Adult Biological and medical sciences Evidence-Based Medicine Female Genital Diseases, Female - pathology Genital Diseases, Female - surgery guidelines Humans Hysterectomy Hysterectomy - methods Hysterectomy, Vaginal - methods Internship and Residency laparoscopic Laparoscopy Length of Stay Medical sciences Postoperative Complications - epidemiology Practice Guidelines as Topic Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Time Factors Uterine Diseases - pathology Uterine Diseases - surgery Uterus - pathology vaginal |
| title | Guidelines for the selection of the route of hysterectomy: Application in a resident clinic population |
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