Hysterectomy is the most frequently performed surgery in women. The difference in life time risk between countries probably reflect the mainly the attitude of the surgeon and the available techniques.
Hysterectomy is the most frequently performed operation in women, with a life time risk varying from country to country from less than 20% to more than 40%. Overall these differences reflect more medical practice than differences in pathology between countries.
The first carefully described abdominal supracervical hysterectomy was performed by Wilhelm Alexander Freund in 1878 and it was the leading technique for over 80 years. Tervilä described the danger of cervical cancer to be 0.3-1.9% following supracervical hysterectomy. Since 1950, hysterectomy has been performed almost exclusively as total hysterectomy, though since the 1990 interest in supracervical hysterectomy has been reawakened thanks to the introduction of Classic Intrafascial Supracervical Hysterectomy CISH) pelviscopic and laparotomy techniques .
OBGYN.net Conference Coverage
From the 34th Annual Meeting - Chicago, Illinois - November 2005
Video of Laparoscopic Hysterectomy
The last time I had seen Mrs. Martin for a checkup was in the winter of 1995. At that time she weighed nearly 250 pounds. During her visit a year later, to my dismay, she had gained another 40 pounds. That’s a lot of weight for anybody to carry around, and it’s of special concern in a woman who stands just 5’1" in her stocking feet.
Approximately 600,000 hysterectomies are performed every year in the United States alone, but only 10% or so for cancer of the uterus, or ovaries and rarely the fallopian tubes. The uterine indications usually are related to problems of bleeding, pain, pelvic tenderness, or a failure of pelvic support that causes uterine prolapse. Much less commonly, ovarian tumors will suggest the need for hysterectomy.
Leaving ovaries intact during hysterectomies for non-cancerous conditions may boost long-term survival rates for women under age 65, according to the results of a new study published in the August issue of Obstetrics and Gynecology.
That’s what one team of researchers sought to determine as they explored its use in the case of laparoscopic hysterectomy.
In the following Total Laparoscopic Hysterectomy, Dr. Howard Hall, Morganton, N.C. is utilizing the PKS Cutting Forceps for transection of the large infundibular pelvic ligaments along with dissection, grasping, and coagulation during the procedure.