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[Hysterectomy for benign gynaecological disease: Surgical approach, vaginal suture method and morcellation: Guidelines].
- Source :
-
Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 2015 Dec; Vol. 44 (10), pp. 1168-82. Date of Electronic Publication: 2015 Oct 31. - Publication Year :
- 2015
-
Abstract
- Objective: To provide clinical practice guidelines from the French college of obstetrics and gynaecology (CNGOF), based on the best evidence available, concerning the surgical approach, the vaginal suture method, the surgeon's experience and morcellation to avoid complications with hysterectomy for benign gynaecological disease.<br />Material and Methods: English and French review of literature about complications with hysterectomy for benign gynaecological disease, excluding cancer.<br />Results and Conclusion: For benign gynaecological disease, vaginal (VH) or laparoscopic (LH) hysterectomy are recommended (grade B). In case of big uterus, VH or LH are recommended (grade C). VH is not contraindicated in nulliparous (Grade C). VH is not contraindicated in case of previous caesarean (grade C). In obese women, VH and LH are recommended (grade C). It should be recommended to perform at least 30 hysterectomies during learning curve (grade C). Hysterectomy should be performed by surgeon doing at least 10 hysterectomies each year (grade C). No vaginal suture method is recommended (grade C). It is recommended to assess cancer risk before (histological sample and/or imagery) when morcellation is planned (expert opinion).<br /> (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Female
France epidemiology
Genital Diseases, Female epidemiology
Gynecologic Surgical Procedures adverse effects
Gynecologic Surgical Procedures methods
Gynecologic Surgical Procedures standards
Gynecologic Surgical Procedures statistics & numerical data
Humans
Morcellation adverse effects
Morcellation statistics & numerical data
Postoperative Complications epidemiology
Postoperative Complications etiology
Postoperative Complications prevention & control
Practice Patterns, Physicians' standards
Practice Patterns, Physicians' statistics & numerical data
Pregnancy
Suture Techniques adverse effects
Suture Techniques statistics & numerical data
Vagina surgery
Genital Diseases, Female surgery
Hysterectomy adverse effects
Hysterectomy methods
Hysterectomy standards
Hysterectomy statistics & numerical data
Morcellation standards
Suture Techniques standards
Subjects
Details
- Language :
- French
- ISSN :
- 1773-0430
- Volume :
- 44
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal de gynecologie, obstetrique et biologie de la reproduction
- Publication Type :
- Academic Journal
- Accession number :
- 26527018
- Full Text :
- https://doi.org/10.1016/j.jgyn.2015.09.032