Articles Tagged With: Hysterectomy
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New Web-Based Decision Aid Can Help with Permanent Contraception
The most commonly used contraceptive method, tubal sterilization, is on the rise. Requests for the procedure have increased since the U.S. Supreme Court overturned Roe v. Wade. Increased demand suggests the need for comprehensive counseling on sterilization procedures, as well as alternatives. Clinicians could benefit from offering a patient-centered decision aid that educates people about permanent contraception.
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Failure to Inspect Patient After Cesarean Section Leads to Cardiac Arrests and Hysterectomy, $8 Million Award
This case serves as a stark reminder to medical professionals about the critical importance of closely monitoring patients after surgery and preparing to intervene promptly if complications arise. The incident underscores the significance of knowing the risks and potential complications associated with emergency cesarean sections.
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Is It Safe to Skip the Pelvic Examination Before Gender-Affirming Hysterectomy and Vaginectomy?
A retrospective chart review of individuals undergoing gender-affirming hysterectomy, vaginectomy, or both found no difference in 30-day perioperative outcomes between those who received a preoperative internal pelvic examination and those who did not. These findings indicate that omitting such potentially triggering exams may be safe.
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Patients Face Barriers to Permanent Contraception
For people who want a permanent contraception method, both tubal surgery and vasectomy are safe, highly effective, and result in a quick recovery. The chief obstacles are insurance restrictions, finding a clinician who can do the procedure, securing an operating room, religious hospitals’ policies, and inconvenience to patients.
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Base Permanent Contraception Counseling on Patients’ Preferences
Increasingly, reproductive health providers are meeting with patients who are interested in a permanent contraceptive method. Roadblocks to these procedures include a patient’s personal concerns about the procedure or future regret, as well as insurance/cost concerns, and clinicians who turn them down because they are too young or have no or too few children.
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Do Anti-Müllerian Hormone Levels Decline More Rapidly After Hysterectomy with Ovarian Conservation?
In this multi-site, community-based study, anti-Müllerian hormone levels did not decline more rapidly among patients who underwent hysterectomy with ovarian conservation compared to patients who experienced natural menopause.
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Does Bilateral Salpingo-Oophorectomy at the Time of Benign Hysterectomy Reduce Ovarian Cancer Risk?
In this retrospective cohort study of 195,282 women who underwent benign hysterectomy with or without bilateral salpingo-oophorectomy (BSO), the group who underwent BSO had a decreased ovarian cancer incidence (hazard ratio, 0.23; 95% confidence interval, 0.14-0.38) at 16 years of follow-up compared to those who retained their ovaries.
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BSO at Benign Hysterectomy: What Should We Be Recommending?
In this population-based retrospective cohort study, among 44,549 adult women undergoing hysterectomy in Ontario, Canada, there was marked variation between surgeons in bilateral salpingo-oophorectomy (BSO) rates after controlling for patient age and other factors. Approximately 41% of patients had no indication for the bilateral salpingo-oophorectomy in their records.
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Apical Suspension at the Time of Vaginal Hysterectomy
The main objective of this study was to determine whether the use of apical suspension at the time of vaginal hysterectomy varies by surgeon specialty.
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Identify and Treat Urologic Injuries at Hysterectomy to Reduce Fistulas
In a large population-based cohort study, genitourinary fistulas were increased significantly if ureteral and/or bladder injuries were not identified and treated at the time of hysterectomy.