Laparoscopically Assisted Vaginal Hysterectomy, Laparoscopic Hysterectomy, and Bilateral Salpingo-Oophorectomy

In: Endometriosis · 1995 · pp. 173–188 · doi:10.1007/978-1-4613-8404-5_17 · W129069193
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Hysterectomy for endometriosis doubled between 1965 and 1984 due to increased disease recognition and frequency/severity, with abdominal hysterectomies accounting for 75% of the procedures.

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This chapter reviews surgical approaches involving hysterectomy, including laparoscopically assisted vaginal hysterectomy, laparoscopic hysterectomy, and bilateral salpingo-oophorectomy, and provides historical context on how hysterectomy use for endometriosis increased substantially between 1965 and 1984 in the United States. It summarizes prior literature comparing abdominal, vaginal, and laparoscopy-assisted hysterectomy approaches and cites data on procedure distribution, as well as outcomes such as mortality risk, costs, and operative complications reported across studies. A key limitation is that the excerpted text is narrative and anchored in referenced prior reports rather than presenting new patient-level analyses within the chapter itself. This paper is centrally about endometriosis — it discusses hysterectomy surgical management and frames trends and evidence in relation to endometriosis.

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Abstract

The use of hysterectomy, one of the most frequently performed major surgical procedures, for treatment of endometriosis doubled between 1965 and 1984. This rise, which exceeded the increase for any other indication, probably reflected not only an increased recognition of endometriosis, but also an increase in the frequency and/or severity of disease.1,2 About 75% of all hysterectomies are accomplished abdominally and 25% vaginally.3,4 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Porkas R, Hufnagel VG. Hysterectomy in the United States, 1964–84. Am J Public Health 1988;78:852. Nezhat C, Berger GS, Nezhat F, Buttram VC, Nezhat CH., eds. Modern Surgical Management of Endometriosis. New York, Springer-Verlag, 1993. Bachmann GA. Hysterectomy: A critical review. J Reprod Med 1990;35:839. Dicker RC, Scally MJ, Greenspan JR, et al. Hysterectomy among women of reproductive age. JAMA 1982;248: 323. White SC, Wartel OLJ, Wade ME. Comparison of abdominal and vaginal hysterectomy—la review of 600 operations. Obstet Gynecol 1971;37:350. Wingo PA, Huezo CM, Rubin GL, et al. The mortality risk associated with hysterectomy. Am J Obstet Gynecol 1985;152:803. Kovac RS, Cruikshank SH, Retto HF. Laparoscopy-assisted vaginal hysterectomy. J Gynecol Surg 1990;6:185. Nezhat C, Nezhat F, Silfen SL. Laparoscopic hysterectomy and bilateral salpingo-oophorectomy using multifire GIA surgical stapler. J Gynecol Surg 1990;6:287. Nezhat C, Burrell MO, Nezhat FR, et al. Laparoscopic radical hysterectomy with para-aortic and pelvic node dissection. Am J Obstet Gynecol 1992;166:864–865. Nezhat C, Nezhat F, Gordon S, et al. Laparoscopic versus abdominal hysterectomy. J Reprod Med 1992;37: 247–250. Carter J, Ryoo J, Katz A. Laparoscopic-assisted vaginal hysterectomy: A case control comparative study with total abdominal hysterectomy. J Am Assoc Gynecol Lap 1994; 2:116–121. Nezhat C, Nezhat F, Nezhat CH. Operative laparoscopy (minimally invasive surgery): State of the art. J Gynecol Surg 1992;8:141. Summitt RL, Stovall TG, Lipscomb GH, et al. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 1992;80:895. Nezhat C, Bess O, Admon D, et al. Hospital cost comparison between abdominal, vaginal, and laparoscopy-assisted vaginal hysterectomies. Obstet Gynecol 1994; 83:713–716. Nezhat F, Nezhat C, Levy JS. A report of laparoscopic injuries and complications over a 10 year period. Presented at 41st annual clinical meeting of American College of Obstetricians and Gynecologists, Washington, D.C., May 3–6, 1993. Nezhat C, Nezhat F. Safe laser endoscopic excision or vaporization of peritoneal endometriosis. Fertil Steril 1989;52:1:149–151. Nezhat C, Nezhat F, Burrell MO, et al. Laparoscopic radical hysterectomy and laparoscopically assisted vaginal radical hysterectomy with pelvic and paraaortic node dissection. J Gynecol Surg 1993;9:105. Nezhat C, Nezhat F. Laparoscopic surgery with a new tuned high-energy pulsed CO2 laser. J Gynecol Surg 1992; 8:251–255. Nezhat F, Nezhat C, Pennington E, et al. Laparoscopic segmental resection for infiltrating endometriosis of the rectosigmoid colon: a preliminary report. Surg Laparosc Endosc 2:212–216. Nezhat C, Nezhat F, Pennington, et al. Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis. Surg Endosc 1994;8:682–685. Nezhat C, Nezhat F, Bess O, et al. Injuries associated with the use of a linear stapler during operative laparos-copy: review of diagnosis, management, and prevention. J Gynecol Surg 1993;3:145–150. Nezhat C, Nezhat F, Winer W. Salpingectomy via la-paroscopy: a new surgical approach. J Laparosc Surg 1991;1:91–95. Schwartz R. Hysterectomy. Relevant Issues and Reproductive Medicine. Nezhat F, Nezhat C. Operative laparoscopy for the treatment of ovarian remnant syndrome. Fertil Steril 57: 1003–1007. Editor information Editors and Affiliations Rights and permissions Copyright information © 1995 Springer-Verlag New York, Inc. About this chapter Cite this chapter Nezhat, C., Nezhat, F., Nezhat, C., Admon, D. (1995). Laparoscopically Assisted Vaginal Hysterectomy, Laparoscopic Hysterectomy, and Bilateral Salpingo-Oophorectomy. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_17 Download citation DOI: https://doi.org/10.1007/978-1-4613-8404-5_17 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-8406-9 Online ISBN: 978-1-4613-8404-5 eBook Packages: Springer Book Archive

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