Hysterectomy—Current Methods and Alternatives for Benign Indications

Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches...

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Main Authors: Michail S. Papadopoulos, Athanasios C. Tolikas, Dimosthenis E. Miliaras
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2010/356740
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author Michail S. Papadopoulos
Athanasios C. Tolikas
Dimosthenis E. Miliaras
author_facet Michail S. Papadopoulos
Athanasios C. Tolikas
Dimosthenis E. Miliaras
author_sort Michail S. Papadopoulos
collection DOAJ
description Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy (LAVH) where a vaginal hysterectomy is assisted by laparoscopic procedures that do not include uterine artery ligation, total laparoscopic hysterectomy (TLH) where the laparoscopic procedures include uterine artery ligation, and subtotal laparoscopic hysterectomy (STLH) where there is no vaginal component and the uterine body is removed using a morcelator. In the last decades, many new techniques, alternative to hysterectomy with conservation of the uterus have been developed. They use modern technologies and their results are promising and in many cases comparable with hysterectomy. This paper is a review of all the existing hysterectomy techniques and the alternative methods for benign indications.
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spelling doaj-art-5a2987411ae548839b9c658458a9c9892025-02-03T05:53:48ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/356740356740Hysterectomy—Current Methods and Alternatives for Benign IndicationsMichail S. Papadopoulos0Athanasios C. Tolikas1Dimosthenis E. Miliaras2Department of Obstetrics and Gynecology, Euromedica General Clinic of Thessaloniki, Gravias 2, 54645, Thessaloniki, GreeceDepartment of Obstetrics and Gynecology, Euromedica General Clinic of Thessaloniki, Gravias 2, 54645, Thessaloniki, GreeceDepartment of Obstetrics and Gynecology, Euromedica General Clinic of Thessaloniki, Gravias 2, 54645, Thessaloniki, GreeceHysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy (LAVH) where a vaginal hysterectomy is assisted by laparoscopic procedures that do not include uterine artery ligation, total laparoscopic hysterectomy (TLH) where the laparoscopic procedures include uterine artery ligation, and subtotal laparoscopic hysterectomy (STLH) where there is no vaginal component and the uterine body is removed using a morcelator. In the last decades, many new techniques, alternative to hysterectomy with conservation of the uterus have been developed. They use modern technologies and their results are promising and in many cases comparable with hysterectomy. This paper is a review of all the existing hysterectomy techniques and the alternative methods for benign indications.http://dx.doi.org/10.1155/2010/356740
spellingShingle Michail S. Papadopoulos
Athanasios C. Tolikas
Dimosthenis E. Miliaras
Hysterectomy—Current Methods and Alternatives for Benign Indications
Obstetrics and Gynecology International
title Hysterectomy—Current Methods and Alternatives for Benign Indications
title_full Hysterectomy—Current Methods and Alternatives for Benign Indications
title_fullStr Hysterectomy—Current Methods and Alternatives for Benign Indications
title_full_unstemmed Hysterectomy—Current Methods and Alternatives for Benign Indications
title_short Hysterectomy—Current Methods and Alternatives for Benign Indications
title_sort hysterectomy current methods and alternatives for benign indications
url http://dx.doi.org/10.1155/2010/356740
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AT athanasiosctolikas hysterectomycurrentmethodsandalternativesforbenignindications
AT dimosthenisemiliaras hysterectomycurrentmethodsandalternativesforbenignindications