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Article: Vaginal hysterectomies in patients without uterine prolapse: a local perspective

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
Authors
KeywordsHematoma
Hysterectomy, vaginal
Organ size
Issue Date2007
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org
Citation
Hong Kong Medical Journal, 2007, v. 13 n. 1, p. 27-30 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/57406
ISSN
2014 Impact Factor: 0.872
2014 SCImago Journal Rankings: 0.237

 

DC FieldValueLanguage
dc.contributor.authorPun, TCen_HK
dc.date.accessioned2010-04-12T01:35:40Z-
dc.date.available2010-04-12T01:35:40Z-
dc.date.issued2007en_HK
dc.identifier.citationHong Kong Medical Journal, 2007, v. 13 n. 1, p. 27-30en_HK
dc.identifier.citation香港醫學雜誌 , 2007, v. 13 n. 1, p. 27-30zh_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/57406-
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.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.orgen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.en_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectHematomaen_HK
dc.subjectHysterectomy, vaginalen_HK
dc.subjectOrgan sizeen_HK
dc.titleVaginal hysterectomies in patients without uterine prolapse: a local perspectiveen_HK
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zh_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=13&issue=1&spage=27&epage=30&date=2007&atitle=Vaginal+hysterectomies+in+patients+without+uterine+prolapse:+a+local+perspectiveen_HK
dc.identifier.emailPun, TC: puntc@HKUCC.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid17277389en_HK
dc.identifier.scopuseid_2-s2.0-33947590113-

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