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Does hysterectomy without salpingo-oophorectomy influence the reoperation rate for adnexal pathology? A retrospective
Z Holub1, M Jandourek, A Jabor
1Department of Obstetrics and Gynecology, Endoscopy Training Center, Baby Friendly Hospital, Kladno, Czech Republic.
Objective:
The aim of this study was to assess if the abdominal, vaginal and laparoscopic approach to hysterectomy can affect the incidence of ovarian or adnexal pathology after hysterectomy without salpingo-oophorectomy.
Methods:
In this study 17 cases out of 617 hysterectomies were found to have development of adnexal pathology; reoperation rate was 2.75%.
Results:
The reoperation rate was significantly different (p < 0.006) in the observed approaches to hysterectomy (TAH 5.67%, VH 0.69%, LH 3.18%). The greatest difference was found between the abdominal and vaginal groups.
Conclusion:
Our study results have sufficiently shown that the relationship of a number of factors (age, primary histologic findings, smaller peritoneal trauma) had an important impact on a significant difference in reoperation rate between vaginal, laparoscopic and namely abdominal hysterectomies in female patients with preserved adnexa.