Time to stop the hand-wringing. 'Net zero' hysterectomy is not an appropriate goal
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Hysterectomy is essential for gynecological conditions and offers improved patient satisfaction and reduced re-operation rates compared to ablative procedures for abnormal bleeding.
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Abstract
Hysterectomy is an essential part of the treatment armamentarium for patients with malignant disease, severe prolapse, massive fibroids, with genetic mutations that predispose to endometrial cancer, and in selected patients with severe symptomatic endometriosis and adenomyosis. For patients with abnormal uterine bleeding unresponsive to non-surgical measures, there is high-level evidence that hysterectomy, particularly minimally invasive hysterectomy, is associated with higher rates of satisfaction and quality of life, comparable rates of serious adverse events and a lower incidence of further surgery, than endometrial resection or ablation. A 'net zero' hysterectomy is not an appropriate goal in contemporary gynaecological practice.
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References (12)
- Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition via openalex
- Toward ‘net zero’ hysterectomy for Australia; New Zealand is already heading there… via openalex
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- europepmc
- last seen: 2026-09-06T09:34:12.023084+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-09-06T06:16:16.030829+00:00
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