[Vaginal hysterectomy with bilateral adnexectomy].
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This study compared vaginal hysterectomy with bilateral adnexectomy (UE.A.) to vaginal hysterectomy without adnexectomy (VK), finding similar postoperative complication rates despite differences in average patient age and higher rates of ovarian pathology in the UE.A. group.
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Abstract
102 bilateral adnexectomies in simple vaginal uterectomy (UE.A.) were researched between 1975-1980 and compared to the same number of patients who had vaginal uterectomy without adnexectomy (VK). The average age of the UE.A. was 51.9 years and of the VK 36.8 years of age. The parity of both groups was balanced. The most frequent indication for operation of both collectives was uterus myomatosus. In 52.9% we found a pathology of the ovar: In 46% benign ovarial tumor, in 4.9% ovarial tumor, in 4.9% ovarial endometriosis, in 0.9% ovarial metastasis of breast carcinoma and in 0.9% tubal carcinoma with micrometastasis at the ovar of the same side. The most frequent postoperative histological diagnosis of both groups was uterus myomatosus. The number of complications (post operative bleeding, course of fever more than 38.5 degrees C) was the same in both groups.
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