Izvorni znanstveni članak
Comparison of a re-analyzed vaginal hysterectomy to a classical one
Davor Zoričić
; Opća bolnica Pula, Služba za ginekologiju i opstetriciju
Dragan Belci
; Opća bolnica Pula, Služba za ginekologiju i opstetriciju
Dino Bečić
; Opća bolnica Pula, Služba za ginekologiju i opstetriciju
Tomislav Perkov
; Opća bolnica Pula, Služba za ginekologiju i opstetriciju
Sažetak
Objective. To evaluate advantages of a re-analyzed vaginal hysterectomy (the ten-step vaginal hysterectomy – TSVH) as compared to a traditional technique of vaginal hysterectomy. Patients and methods. A prospective randomized study involving 66 patients with pelvic organ prolapse; 46 operations were performed using the classical technique of vaginal hysterectomy (modifi ed Heaney method) and 20 using the TSVH. Results. TSVH results in shorter operating time, shorter hospital stay, and signifi cantly less need for analgesia compared to the Heaney method. There is no difference in blood loss, pain intensity and degree of patient satisfaction 7 days after surgery. Conclusion. The ten-step vaginal hysterectomy which is a structured method based on the analysis of several possible surgical steps seems to be simple to perform, teach and learn. Because of its didactic presentation, this method can successfully promote vaginal hysterectomy when teaching new generations of gynecological surgeons, and should be adopted for routine clinical use.
Ključne riječi
vaginal hysterectomy; ten-step vaginal hysterectomy; Heaney method; postoperative recovery
Hrčak ID:
251504
URI
Datum izdavanja:
1.12.2016.
Posjeta: 450 *