ABSTRACT

Hong Kong Med J 2013;19:323–7 | Number 4, August 2013 | Epub 22 Apr 2013
DOI: 10.12809/hkmj133849
ORIGINAL ARTICLE
Vaginal hysterectomies in patients without uterine prolapse: ten-year experience
KW Cheung, TC Pun
Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong
 
 
OBJECTIVE. To review the results of vaginal hysterectomies in patients without uterine prolapse.
 
DESIGN. Retrospective chart review.
 
SETTING. University affiliated hospital, Hong Kong.
 
PATIENTS. All patients who had vaginal hysterectomies in the absence of uterine prolapse from 1999 to 2005 inclusive (first period) and 2006 to 2009 inclusive (second period).
 
MAIN OUTCOME MEASURES. The number of such hysterectomies, indications, operative procedures, complications, use of preoperative gonadotropin-releasing hormone agonist, and concomitant vaginal salpingo-oophorectomies performed.
 
RESULTS. In all, 94 and 98 patients fulfilling the necessary inclusion criteria within the two respective periods underwent vaginal hysterectomy. The indications for hysterectomy in the respective groups were similar, and 89 (95%) and 90 (92%) of the patients were Chinese. The respective proportions having additional procedures were 11% versus 23% (P=0.018) and the respective vaginal bilateral salpingo-oophorectomy rates were 1% versus 15% (P
 
CONCLUSIONS. Surgeons' experience can influence the complication rate and the chance of successful vaginal salpingo-oophorectomy. More liberal use of gonadotropin-releasing hormone agonist may further reduce the complication rate and allow more vaginal hysterectomies.
 
Key words: Gonadotropin-releasing hormone; Hematoma; Hysterectomy, vaginal; Ovariectomy
 
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