The outpatient vaginal hysterectomy
Article Abstract:
Outpatient vaginal hysterectomies can be safely performed on women who have no complicating medical conditions. Women were offered the option of having vaginal hysterectomies at an outpatient surgery center if they met several criteria which included good general health, whether or not they had a reliable support person at home and if there were no suspicions of endometriosis or other complications. Ten women were scheduled for the early morning surgery. All women left the clinic within eight hours of the surgery. The women were given written instructions on taking care of themselves after their surgeries and directions for taking their medicines. Follow-up included calls from the surgeon on the first two days after surgery. Routine post-operative visits were scheduled for three to four weeks after the hysterectomy. Only one woman needed to be seen by a physician before her post-operative visit. She developed pelvic cellulitis and then deep-vein thrombophlebitis. Both of these complications required hospitalization.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1993
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Sacrocolpopexy and the anterior compartment: support and function
Article Abstract:
Surgical correction of genuine stress urinary incontinence may be possible by repositioning the vagina from behind the pubic bone. A surgeon reviewed the medical charts of 65 women who had undergone surgery to suspend the collapsed vagina by attaching it to the sacral ligament. Eighty percent of patients also experienced stress urinary incontinence before surgery. Burch retropubic urethropexy surgery was successful both in suspending the collapsed vagina and in eliminating urinary incontinence. Urinary tract function should be evaluated before surgery to enhance surgical success. Burch retropubic urethropexy is performed via an abdominal route and avoids dissection of, and possible damage to, the anterior vaginal wall.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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