November 9, 2010

Most Common Hysterectomy Procedure Is Not the Most Efficient

(Ivanhoe Newswire) -- If your doctors are recommending an abdominal incision to complete your hysterectomy, then you may want to do some research.  A new statement published in this month's Journal of Minimally Invasive Gynecology by the American Association of Gynecologic Laparoscopists (AAGL) urges women to pursue vaginal or laparoscopic procedures instead, which are less risky and offer a much faster recovery.

Out of the 600,000 hysterectomies performed each year in the U.S. to treat benign diseases, over two thirds are completed with abdominal incisions.   In an abdominal hysterectomy, (AH) a sizable abdominal incision is required, and often leads to wound infections, longer hospital stays and an increased postponement of regular activities.

Vaginal hysterectomies (VH) and laparoscopic hysterectomies (LH) on the other hand offer lowered surgical risks and shorter hospital stays, and are often given as a same-day outpatient procedure.

Obesity is often cited as risky condition for hysterectomy patients, but the AAGL's evidence shows that safety and effectiveness are similar amongst obese and non-obese patients.

"When hysterectomy is necessary, the demonstrated safety, efficacy, and cost-effectiveness of VH and LH mandate that they be the procedures of choice," Franklin D. Loffer MD, Executive Vice President and Medical Director of the AAGL, was quoted as saying.  "When hysterectomy is performed without a laparotomy, early institutional discharge is feasible and safe, in many cases within the first 24 hours."

SOURCE: The Journal of Minimally Invasive Gunecology, November 2010