Hysterectomy techniques used for benign pathologies: results of a French multicentre study

C Chapron L. Laforest 1 Y Ansquer A Fauconnier 2 B Fernandez G Bréart J B Dubuisson
1 Direction Départementale des Affaires Sanitaires et Sociales
2 Service de gynécologie obstétrique
Abstract : The objective of this study was to assess the techniques by which hysterectomies are carried out and to determine the rate of total laparoscopic hysterectomy (TLH). A transversal multicentre study was conducted in 23 gynaecology and obstetrics departments of French University Hospital Centres. The study population comprised only those patients for whom hysterectomy was indicated for benign disease without genital prolapse or urinary stress incontinence. Whereas the rates of performance of hysterectomy by laparotomy and by the vaginal route are comparable [respectively 40.0% (94 patients) and 46.8% (110 patients)], the rate of performance of TLH is only 13.2% (31 patients). All 23 centres (100%) carried out hysterectomy by laparotomy and 21 centres (91.3%) carried out vaginal hysterectomy; however, only nine centres (39.1%) carried out TLH. Only seven centres (30.4%) performed all three types of operation. Of the eight centres whose rate of vaginal hysterectomy was \\textgreater60%, six (75%) did not carry out TLH. The study suggests that the usage of the TLH technique appears to be limited. The extent of surgical training is a major factor in the choice of technique for hysterectomy.
Keywords : Hysterectomy Genital Diseases Female Humans France Aged Middle Aged Adult 80 and over Laparoscopy
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Journal articles
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https://hal-univ-lyon1.archives-ouvertes.fr/hal-01839011
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Submitted on : Friday, July 13, 2018 - 4:46:25 PM
Last modification on : Tuesday, November 19, 2019 - 11:17:26 AM

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  • HAL Id : hal-01839011, version 1
  • PUBMED : 10527970

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C Chapron, L. Laforest, Y Ansquer, A Fauconnier, B Fernandez, et al.. Hysterectomy techniques used for benign pathologies: results of a French multicentre study. Human Reproduction, Oxford University Press (OUP), 1999, 14 (10), pp.2464--2470. ⟨hal-01839011⟩

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