[Hysterectomy for benign pathology: Guidelines for clinical practice].

Area of Science:

• Gynecology
• Surgical Oncology
• Evidence-Based Medicine

Background:

• Hysterectomy is a common surgical procedure for benign gynecological conditions.
• Standardized clinical guidelines are essential for optimizing patient outcomes and minimizing surgical risks.
• The French College of Obstetrics and Gynecology (CNGOF) developed evidence-based recommendations for hysterectomy.

Purpose of the Study:

• To establish clinical practice guidelines for hysterectomy in benign pathology.
• To synthesize the best available evidence to inform surgical decision-making.
• To provide recommendations for optimizing safety and efficacy in hysterectomy procedures.

Main Methods:

• Recommendations were graded based on the level of evidence using a standardized methodology.
• A systematic review of existing literature was conducted to inform the guidelines.
• Expert consensus was utilized in the development of the recommendations.

Main Results:

• Hysterectomy should be performed by high-volume surgeons (>10 procedures/year).
• Vaginal or laparoscopic routes are recommended for benign hysterectomy, irrespective of uterus size or patient obesity.
• Ovary conservation is recommended for pre-menopausal women without specific risk factors; subtotal hysterectomy is not advised.

Conclusions:

• Adherence to these guidelines can significantly reduce risks associated with hysterectomy.
• The recommendations aim to improve patient safety and surgical outcomes.
• Evidence-based practice is crucial for enhancing hysterectomy procedures.