Radical hysterectomy: does the type of incision matter?
Article Abstract:
The Pfannenstiel incision may offer advantages over traditional abdominal incision types among select patients when performing a radical hysterectomy and pelvic lymphadenectomy. Among a group of 236 women having such surgery for invasive cervical cancer, 113 had a vertical incision, 45 had a Maylard incision, and 78 had a Pfannenstiel incision. Use of the Pfannenstiel incision reduced the average length of surgery, the average blood loss and the average length of hospital stay. Fewer women in this group required a blood transfusion and fewer developed infectious complications. The Pfannenstiel incision is more suitable for thinner women.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Radical hysterectomy: current management guidelines
Article Abstract:
Several surgical and health care changes implemented since 1994 have contributed to the successful reduction in the hospital stay required for women undergoing complete hysterectomies. The use of a horizontal surgical incision and the placement of a Foley catheter to continuously drain the bladder until the woman can comfortably urinate on her own have been two significant modifications. Standardized patient care has streamlined the hospital stay. The practice of giving women soft solid food earlier limits the number of days on intravenous fluids. Doctors also now admit women to the hospital on the same day as the surgery.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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To peritonealize or not to peritonealize? A randomized trial at abdominal hysterectomy
Article Abstract:
It may not be necessary to close the peritoneum after hysterectomy. The peritoneum is the membrane that lines the inside of the abdomen as well as the outside of the stomach and other abdominal organs. Normally, surgeons would sew up the opening in the peritoneum as well as the abdominal wall after a hysterectomy. Surgeons did just that in 76 women and closed the abdominal wall only in 68 other women, all of whom had a hysterectomy. Closing only the abdominal wall shortened the procedure by an average of 10 minutes and resulted in less blood loss. There was no difference in postoperative pain between the two groups.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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