BibTex RIS Kaynak Göster

HYSTERECTOMY RATES AND INDICATIONS IN ZEKAI TAHIR BURAK WOMEN’S HEALTH EDUCATION AND RESARCH HOSPITAL; 10 YEAR FOLLOW- UP

Yıl 2012, Cilt: 9 Sayı: 34, 1406 - 1409, 01.04.2012

Öz

Objective: The types of hysterectomies for benign di- seases according to the indications and rates were investigated. Material and Methods: Study was performed on to- tal number of 8066 patients who were operated in Zekai Tahir Burak Women Health Educational and Rese- arch Hospital’s Gynecology department between April 2001 and May 2011. Study was planned retrospective and datas were obtained patient’s recorded. Ethical comity approval and informed patient consent for each pa- tient had taken before the initiation of study. Patients were evaluated with respect to the operative time, preoperative and postoperative hemoglobin levels, postope- rative analgesic requirement, hospital stay and demographic measures. Analysis of variance and t test used for statistical analysis. A P value < 0.05 was considered statistically significant. Results: Of the 8066 hysterectomies for benign disea- se, the abdominal route was the most common 68.1% , followed by vaginal 30.1% and laparoscopic 1.7% routes. For all hysterectomies, the most common indications were leiomyomata 48% , menstrual disorders 18% , prolapse 16% , endometriosis 14% and tubo- ovarian absess 4% . Conclusion: Despite a shorter length of stay, less pos- toperative analgesic requirement, vaginal and laparoscopic hysterectomies remain far less common than abdominal hysterectomy for benign disease.

Kaynakça

  • Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA. Hysterectomy surveillance-United States, 1994-1999. MMWR CDC Surveill Summ ; 51(SS-5): 1-8
  • Reich H, Decaprio J, McGlynn F. Laparoscopic hysterectomy. J Gyne- col Surg 1989; 5: 213-7.
  • Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgi- cal approach to hysterectomy for benign gynaecological disease (Coch- rane Review). In: The Cochrane Library. Issue 2, 2006. Oxford : Upda- te Software.
  • Meikle SF, Nugent EW, Orleans M. Complications and recovery from laparoscopy- assisted vaginal hysterectomy compared with abdominal and vaginal hysterectomy. Obstet Gynecol 1997; 89: 304-11.
  • Farquhar CM, Steiner CA. Hysterectomy rates in the United States 1997. Obstet Gynecol 2002; 99: 229-34.
  • Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy ra- tes for benign indications. Obstet Gynecol 2006; 107: 1278-83.
  • Summitt RL Jr, Stovall TG, Lipscomb GH, Ling FW. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 1992; 80: 901.
  • Appropriate use of laparoscopically assisted vaginal hysterectomy. ACOG Committee Opinion No. 311. American College of Obstetricians and Gynecologists. Obstet Gynecol 2005; 105: 929-30.
  • Garry R, Fountain J, Brown J, Manca A, Mason S, Scalpher M, et al. EVALUATE hysterectomy trial : a multicentre randomised trial compa- ring abdominal, vaginal and laparoscopic methods of hysterectomy . He- alth Technol Assess 2004; 8: 1-154.
  • Sculpher M, Manca A, Abbott J, Fountain J, Mason S, Garry R. Cost effectiveness analysis of laparoscopic hysterectomy compared with stan- dard hysterectomy: results from a randomised trial. BMJ 2004; 328: 134.
  • Jennifer M. Wu, Mary Ellen Wechter, Elizabeth J. Geller, Thao V. Nguyen, Anthony G. Visco. Hysterectomy Rates in the United States, Obstet Gynecol 2007; 110: 1091-5.
  • Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obs- tet Gynecol 1999; 180: 270-5.
  • Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdo- minal hysterectomy. Am J Obstet Gynecol 1999; 180: 955-62.
  • Stovall DW, Fernandez AS, Cohen SA. Laparoscopy training in Uni- ted States obstetric and gynecology residency programs. JSLS 2006; 10: 5.
  • Einarsson JI, Young A, Tsien I, Sangi-Haghpeykar H. Perceived profi- ciency in endoscopic techniques among senior obstetrics and gynecology residents. J AM Assoc Gynecol Laparosc 2002; 9: 158-64.
  • Hoffman CP, Kennedy J, Borschel L, Burchette R, Kidd A. Laparos- copic hysterectomy: the Kaiser Permanente San Diego experience. J Mi- nim Invasive Gynecol 2005; 12: 16-24.
  • Dorsey JH, Holtz PM, Griffiths RI, McGrath MM, Steinberg EP. Costs and charges associated with three alternative techniques of hyste- rectomy. N Engl J Med 1996; 335: 476-82.
  • Gendy R, Walsh CA, Walsh SR,et al. Vaginal hysterectomy versus to- tal laparoscopic hysterectomy for benign disease: a metaanalysis of ran- domized controlled trials. Am J Obstet Gynecol 2011; 204: 388-8.
  • Jonsdottir GM, Jorgensen S, Cohen SL, Wright KN, Shah NT, Cha- van N, Einarsson JI. Increasing minimally invasive hysterectomy: effect on cost and complications. Obstet Gynecol 2011; 117(5): 1142-9.

ZEKAİ TAHİR BURAK KADIN SAĞLIĞI EĞİTİM VE ARAŞTIRMA HASTANESİ'NDE HİSTEREKTOMİ ORANLARI VE ENDİKASYONLARI; 10 YILLIK İZLEM

Yıl 2012, Cilt: 9 Sayı: 34, 1406 - 1409, 01.04.2012

Öz

Amaç: Benign nedenlerle yapılan histerektomilerin tiplerine göre oranlarını ve endikasyonlarını belirlemek Yöntem ve Gereçler: Nisan 2001 ile Mayıs 2011 arasında Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi Jinekoloji Bölümü’nde opere edilen toplam 8066 hasta çalışmaya dahil edilmiştir. Çalışma retrospektif olarak planlanmış olup, bilgiler hasta dos- yasındaki kayıtlardan elde edilmiştir. Etik kurul onayı ve çalışma öncesi her hastadan bilgilendirilmiş onam alınmıştır. Hastaların operasyon süresi, preoperatif ve postoperatif hemoglobin seviyeleri, postoperatif analjezi ihtiyacı, hastanede kalış süresi ve demografik özellikleri kaydedilmiştir. İstatistiksel çalışmalar da varyans analizi ve t-test kullanılmıştır.P < 0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Benign nedenlerle yapılan 8066 histerekto- minin en yaygın olarak %68.1’ni abdominal histerek- tomi, daha sonra %30.1 ile vajinal histerektomi ve % 1.7 ile laparoskopik histerektomi oluşturmuştur. Bütün histerektomiler için en yaygın endikasyonu % 48 ile leiomyomlar, % 18 menstrüel düzensizlikler, % 16 uterin prolapsus, % 14 endometriozis ve % 4 tubo-ovarian ab- seler oluşturmaktadır. Sonuç: Vajinal ve laparoskopik histerektominin hastanede kalış süresi kısa, postoperatif analjezi ihtiyacı az olmasına rağmen benign nedenlerle abdominal histerektomiden daha az uygulanmaktadır.

Kaynakça

  • Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA. Hysterectomy surveillance-United States, 1994-1999. MMWR CDC Surveill Summ ; 51(SS-5): 1-8
  • Reich H, Decaprio J, McGlynn F. Laparoscopic hysterectomy. J Gyne- col Surg 1989; 5: 213-7.
  • Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgi- cal approach to hysterectomy for benign gynaecological disease (Coch- rane Review). In: The Cochrane Library. Issue 2, 2006. Oxford : Upda- te Software.
  • Meikle SF, Nugent EW, Orleans M. Complications and recovery from laparoscopy- assisted vaginal hysterectomy compared with abdominal and vaginal hysterectomy. Obstet Gynecol 1997; 89: 304-11.
  • Farquhar CM, Steiner CA. Hysterectomy rates in the United States 1997. Obstet Gynecol 2002; 99: 229-34.
  • Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy ra- tes for benign indications. Obstet Gynecol 2006; 107: 1278-83.
  • Summitt RL Jr, Stovall TG, Lipscomb GH, Ling FW. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 1992; 80: 901.
  • Appropriate use of laparoscopically assisted vaginal hysterectomy. ACOG Committee Opinion No. 311. American College of Obstetricians and Gynecologists. Obstet Gynecol 2005; 105: 929-30.
  • Garry R, Fountain J, Brown J, Manca A, Mason S, Scalpher M, et al. EVALUATE hysterectomy trial : a multicentre randomised trial compa- ring abdominal, vaginal and laparoscopic methods of hysterectomy . He- alth Technol Assess 2004; 8: 1-154.
  • Sculpher M, Manca A, Abbott J, Fountain J, Mason S, Garry R. Cost effectiveness analysis of laparoscopic hysterectomy compared with stan- dard hysterectomy: results from a randomised trial. BMJ 2004; 328: 134.
  • Jennifer M. Wu, Mary Ellen Wechter, Elizabeth J. Geller, Thao V. Nguyen, Anthony G. Visco. Hysterectomy Rates in the United States, Obstet Gynecol 2007; 110: 1091-5.
  • Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obs- tet Gynecol 1999; 180: 270-5.
  • Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdo- minal hysterectomy. Am J Obstet Gynecol 1999; 180: 955-62.
  • Stovall DW, Fernandez AS, Cohen SA. Laparoscopy training in Uni- ted States obstetric and gynecology residency programs. JSLS 2006; 10: 5.
  • Einarsson JI, Young A, Tsien I, Sangi-Haghpeykar H. Perceived profi- ciency in endoscopic techniques among senior obstetrics and gynecology residents. J AM Assoc Gynecol Laparosc 2002; 9: 158-64.
  • Hoffman CP, Kennedy J, Borschel L, Burchette R, Kidd A. Laparos- copic hysterectomy: the Kaiser Permanente San Diego experience. J Mi- nim Invasive Gynecol 2005; 12: 16-24.
  • Dorsey JH, Holtz PM, Griffiths RI, McGrath MM, Steinberg EP. Costs and charges associated with three alternative techniques of hyste- rectomy. N Engl J Med 1996; 335: 476-82.
  • Gendy R, Walsh CA, Walsh SR,et al. Vaginal hysterectomy versus to- tal laparoscopic hysterectomy for benign disease: a metaanalysis of ran- domized controlled trials. Am J Obstet Gynecol 2011; 204: 388-8.
  • Jonsdottir GM, Jorgensen S, Cohen SL, Wright KN, Shah NT, Cha- van N, Einarsson JI. Increasing minimally invasive hysterectomy: effect on cost and complications. Obstet Gynecol 2011; 117(5): 1142-9.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Melike Doğanay

Orhan Aksakal Bu kişi benim

M.gülnur Özakşit Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2012
Yayımlandığı Sayı Yıl 2012 Cilt: 9 Sayı: 34

Kaynak Göster

Vancouver Doğanay M, Aksakal O, Özakşit M. ZEKAİ TAHİR BURAK KADIN SAĞLIĞI EĞİTİM VE ARAŞTIRMA HASTANESİ’NDE HİSTEREKTOMİ ORANLARI VE ENDİKASYONLARI; 10 YILLIK İZLEM. JGON. 2012;9(34):1406-9.