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Article: Vaginal hysterectomies in patients without uterine prolapse: a local perspective
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TitleVaginal hysterectomies in patients without uterine prolapse: a local perspective
本地對無呈現子宮脫垂的病人進行經陰道的子宮切除手術
 
AuthorsPun, TC1
 
KeywordsHematoma
Hysterectomy, vaginal
Organ size
 
Issue Date2007
 
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org
 
CitationHong Kong Medical Journal, 2007, v. 13 n. 1, p. 27-30
香港醫學雜誌 , 2007, v. 13 n. 1, p. 27-30 [How to Cite?]
 
AbstractOBJECTIVE: To review the results of vaginal hysterectomies in patients without uterine prolapse. DESIGN: Retrospective chart review. SETTING: University affiliated hospital, Hong Kong. PATIENTS: Patients who had vaginal hysterectomies in the absence of uterine prolapse, from 1999 to 2005 inclusive. MAIN OUTCOME MEASURES: The number, indications, operative procedures, and complications of such hysterectomies. RESULTS: A total of 94 patients who underwent vaginal hysterectomy fulfilled the inclusion criteria. They accounted for 4.3 to 8.2% of all hysterectomies performed annually for benign diseases in the department, over the inclusive period 2000 to 2004. The incidences of complications, except bladder injuries, were comparable to those reported in other studies. The incidence of vault haematoma decreased as each surgeon's experience increased and more attention was paid to 'bleeders' at the 'four and eight o'clock areas' and more cephalic regions of the vaginal incision. Increased size of the uterus was an important determinant of the risk of complications. CONCLUSIONS: Vaginal hysterectomy is an underutilised approach in Hong Kong. With more experience and better patient selection, complication rates can be further reduced. Further evaluation is suggested for the role of bleeders at 'four and eight o'clock regions' as potential causes of vault haematoma.
 
ISSN1024-2708
2012 SCImago Journal Rankings: 0.255
 
DC FieldValue
dc.contributor.authorPun, TC
 
dc.date.accessioned2010-04-12T01:35:40Z
 
dc.date.available2010-04-12T01:35:40Z
 
dc.date.issued2007
 
dc.description.abstractOBJECTIVE: To review the results of vaginal hysterectomies in patients without uterine prolapse. DESIGN: Retrospective chart review. SETTING: University affiliated hospital, Hong Kong. PATIENTS: Patients who had vaginal hysterectomies in the absence of uterine prolapse, from 1999 to 2005 inclusive. MAIN OUTCOME MEASURES: The number, indications, operative procedures, and complications of such hysterectomies. RESULTS: A total of 94 patients who underwent vaginal hysterectomy fulfilled the inclusion criteria. They accounted for 4.3 to 8.2% of all hysterectomies performed annually for benign diseases in the department, over the inclusive period 2000 to 2004. The incidences of complications, except bladder injuries, were comparable to those reported in other studies. The incidence of vault haematoma decreased as each surgeon's experience increased and more attention was paid to 'bleeders' at the 'four and eight o'clock areas' and more cephalic regions of the vaginal incision. Increased size of the uterus was an important determinant of the risk of complications. CONCLUSIONS: Vaginal hysterectomy is an underutilised approach in Hong Kong. With more experience and better patient selection, complication rates can be further reduced. Further evaluation is suggested for the role of bleeders at 'four and eight o'clock regions' as potential causes of vault haematoma.
 
dc.description.naturepublished_or_final_version
 
dc.identifier.citationHong Kong Medical Journal, 2007, v. 13 n. 1, p. 27-30
 
dc.identifier.citation香港醫學雜誌 , 2007, v. 13 n. 1, p. 27-30 [How to Cite?]
 
dc.identifier.issn1024-2708
2012 SCImago Journal Rankings: 0.255
 
dc.identifier.openurl
 
dc.identifier.pmid17277389
 
dc.identifier.scopuseid_2-s2.0-33947590113
 
dc.identifier.urihttp://hdl.handle.net/10722/57406
 
dc.languageeng
 
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org
 
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectHematoma
 
dc.subjectHysterectomy, vaginal
 
dc.subjectOrgan size
 
dc.titleVaginal hysterectomies in patients without uterine prolapse: a local perspective
 
dc.title本地對無呈現子宮脫垂的病人進行經陰道的子宮切除手術
 
dc.typeArticle
 
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<description.abstract>OBJECTIVE: To review the results of vaginal hysterectomies in patients without uterine prolapse. DESIGN: Retrospective chart review. SETTING: University affiliated hospital, Hong Kong. PATIENTS: Patients who had vaginal hysterectomies in the absence of uterine prolapse, from 1999 to 2005 inclusive. MAIN OUTCOME MEASURES: The number, indications, operative procedures, and complications of such hysterectomies. RESULTS: A total of 94 patients who underwent vaginal hysterectomy fulfilled the inclusion criteria. They accounted for 4.3 to 8.2% of all hysterectomies performed annually for benign diseases in the department, over the inclusive period 2000 to 2004. The incidences of complications, except bladder injuries, were comparable to those reported in other studies. The incidence of vault haematoma decreased as each surgeon&apos;s experience increased and more attention was paid to &apos;bleeders&apos; at the &apos;four and eight o&apos;clock areas&apos; and more cephalic regions of the vaginal incision. Increased size of the uterus was an important determinant of the risk of complications. CONCLUSIONS: Vaginal hysterectomy is an underutilised approach in Hong Kong. With more experience and better patient selection, complication rates can be further reduced. Further evaluation is suggested for the role of bleeders at &apos;four and eight o&apos;clock regions&apos; as potential causes of vault haematoma.</description.abstract>
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<subject>Hematoma</subject>
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<subject>Organ size</subject>
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Author Affiliations
  1. Queen Mary Hospital Hong Kong