Hysterectomy as treatment for dysfunctional uterine bleeding

Harry Reich, H Reich, S C Ribeiro, Sérgio Conti Ribeiro, Andrea Vidali, A Vidali
Bailliere's best practice & research. Clinical obstetrics & gynaecology · 1999 · vol. 13(2) , pp. 251–269 · doi:10.1053/beog.1999.0021 · PMID:10755041 · W2013391710
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This chapter discusses hysterectomy as the definitive surgical treatment for dysfunctional uterine bleeding, noting higher patient satisfaction than ablation and recommending specific surgical approaches based on uterus size and pathology.

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Abstract

The surgical treatment of patients with dysfunctional uterine bleeding (DUB) is discussed in this chapter, including indications, techniques and complications. Hysterectomy is the definitive treatment for DUB; in most studies it has a higher rate of patient satisfaction than does hysteroscopic endometrial ablation. The vaginal or laparoscopic approach should be selected in this group of patients with small uteri, while laparotomy is seldom indicated. In general, the indications for vaginal hysterectomy and endometrial ablation differ from those of laparoscopic hysterectomy. Ablation and vaginal hysterectomy are done for hypermenorrhoea, while laparoscopic hysterectomy is best when pathology is present, usually adhesions, endometriosis or fibroids.

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Condition tags

endometriosis

MeSH descriptors

Hysterectomy Laparoscopy Uterine Hemorrhage Female Humans Hysterectomy Hysterectomy Laparoscopy Menorrhagia Menorrhagia Postoperative Care Postoperative Care Uterine Hemorrhage

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (30)

Cited by (2)

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