Tag: hysterectomy

1. Among women with stage I endometrial cancer, total laparoscopic hysterectomy compared to total abdominal hysterectomy resulted in equivalent disease-free survival at 4.5 years. 2. No statistically significant differences were found in recurrence of endometrial cancer or overall survival between the groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Endometrial cancer is...

1. Women who received tranexamic acid before benign hysterectomy experienced less blood loss compared to placebo. 2. No serious adverse events, including blood clots or death, were seen in the intervention group. Evidence Rating Level: 1 (Excellent) Study Rundown: Hysterectomy is one of the most common surgical procedures performed in the United...

1. At 14 years of follow-up, there were no differences in rates of pelvic organ prolapse, constipation, pain, sexuality, quality of life or vaginal bleeding between women who underwent supracervical compared to total hysterectomy. 2. Those who underwent supracervical hysterectomy were more likely to report urinary incontinence, but this difference...

Image: PD  1. Longer wait times from histopathologic diagnosis of uterine cancer to definitive surgery have a negative impact on overall survival.  Evidence rating level:  2 (Good)  Study Rundown: Uterine cancer, which includes cancers of the myometrium and endometrium, can be definitively treated by hysterectomy. The 5-year survival rates are overall good,...

Image: PD  1. Robotic hysterectomies for benign gynecologic disease were not associated with improved overall outcomes compared to conventional laparoscopic hysterectomies.  2. Robotic hysterectomies for benign gynecologic disease were $2500 more expensive than laparoscopic surgeries.  Evidence Rating Level: 2 (Good)  Study Rundown:  This retrospective cohort study found that though the use of robotics...

Feb 20th - The perioperative outcomes from robotically-assisted hysterectomy for benign gynecologic disease are similar to those for laparoscopic hysterectomy; however, the costs are much higher. Image: PD 1. The use of robotically-assisted hysterectomy for benign gynecologic disease has been increasing despite limited evidence demonstrating clinical benefit. 2. The perioperative outcomes from...