Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hysterectomy.

R D Clayton1

  • 1St Mary's Hospital, Whitworth Park, Manchester and Christie Hospital, Wilmslow Road, Withington, Manchester M20 4BX, UK. richard.clayton@cmmc.nhs.uk

Best Practice & Research. Clinical Obstetrics & Gynaecology
|November 9, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Survival of women with early-stage cervical cancer in the UK treated with minimal access and open surgery.

BJOG : an international journal of obstetrics and gynaecology·2019
Same author

CT scan does not predict optimal debulking in stage III-IV epithelial ovarian cancer: a multicentre validation study.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2014
Same author

Bilateral ureteric obstruction, a rare cause.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2005
Same author

Increase in peripheral blood mononuclear cell (PBMC)- and CD56+ cell-mediated killing of endometrial stromal cells by mycobacteria; a possible role in endometriosis immunotherapy?

Human reproduction (Oxford, England)·2004
Same author

Anti-proliferative effect of mycobacteria, IFN-gamma and TNF-alpha on primary cultures derived from endometrial stroma: possible relevance to endometriosis?

American journal of reproductive immunology (New York, N.Y. : 1989)·2004
Same author

The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up.

Human reproduction (Oxford, England)·2003
Same journal

A risk-based classification of late-onset fetal growth disorders according to intrapartum fetal compromise.

Best practice & research. Clinical obstetrics & gynaecology·2026
Same journal

The Cardiac-Fetal-Placental Unit: links between umbilical venous flow and maternal hemodynamics in fetal growth restriction.

Best practice & research. Clinical obstetrics & gynaecology·2026
Same journal

Psychosocial interventions for women who are pregnant following a previous reproductive loss: A scoping review.

Best practice & research. Clinical obstetrics & gynaecology·2026
Same journal

Controversies in fetal therapy.

Best practice & research. Clinical obstetrics & gynaecology·2026
Same journal

Alloimmunisation in pregnancy: current management and future perspectives.

Best practice & research. Clinical obstetrics & gynaecology·2026
Same journal

Consensus in prenatal management of Hemolytic disease of the fetus and newborn.

Best practice & research. Clinical obstetrics & gynaecology·2026
See all related articles

Hysterectomy surgery, a common procedure, can be performed abdominally, vaginally, or laparoscopically. Current evidence does not support subtotal hysterectomy benefits over total hysterectomy for pelvic floor or sexual function.

Area of Science:

  • Gynecology
  • Surgical Procedures
  • Urogynecology

Background:

  • Hysterectomy is a frequent major surgical procedure, with around 100,000 performed annually in the UK.
  • Surgical approaches include abdominal, vaginal, and laparoscopic techniques, with technique selection often based on surgeon expertise.
  • Subtotal hysterectomy's purported benefits for pelvic floor and sexual function lack confirmation in randomized trials.

Purpose of the Study:

  • To review the different hysterectomy approaches and their associated outcomes.
  • To compare the efficacy and safety of vaginal, laparoscopic, and abdominal hysterectomy techniques.
  • To evaluate the evidence supporting subtotal hysterectomy versus total hysterectomy.

Main Methods:

  • Review of existing literature and randomized trials comparing hysterectomy techniques.

Related Experiment Videos

  • Analysis of outcomes including operative time, cost, hospital stay, return to normal activities, and complication rates.
  • Examination of data related to pelvic floor and sexual function following different hysterectomy types.

    • Main Results:

    • Vaginal hysterectomy appears quicker and more cost-effective than laparoscopic hysterectomy, with no significant differences in other outcome measures.
    • Laparoscopic hysterectomy offers advantages in reduced hospital stay and faster return to daily life compared to abdominal hysterectomy, but may have higher complication rates.
    • Radical hysterectomy for cervical cancer also appears to have higher complication rates.

    Conclusions:

    • The choice of hysterectomy approach (abdominal, vaginal, laparoscopic) is influenced by surgeon expertise, with vaginal hysterectomy often preferred for efficiency.
    • While laparoscopic hysterectomy offers faster recovery, it may be associated with increased complications compared to abdominal hysterectomy.
    • Current evidence does not substantiate claims of improved pelvic floor or sexual function with subtotal hysterectomy.