7148906

Source:http://linkedlifedata.com/resource/pubmed/id/7148906

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0000726, umls-concept:C0001779, umls-concept:C0009566, umls-concept:C0020700, umls-concept:C0038280, umls-concept:C0041703, umls-concept:C0043210, umls-concept:C0282116, umls-concept:C0282443, umls-concept:C0748342, umls-concept:C1552617
pubmed:issue	7
pubmed:dateCreated	1983-1-7
pubmed:abstractText	Although hysterectomy was the most frequently performed major surgical procedure among women of reproductive age during the past decade, few recent studies have been conducted to determine the risk of complications. We examined data from the Collaborative Review of Sterilization, a prospective, multicenter, observational study coordinated by the Centers for Disease Control, to assess the comparative risks of complications among women undergoing hysterectomy by the abdominal and vaginal approaches. Between September, 1978, and August, 1981, 1,851 women from nine institutions were included in the study. Women who underwent vaginal hysterectomy experienced significantly fewer complications than women who had undergone abdominal hysterectomy. The difference was probably attributable to the prevalence and efficacy of prophylactic antibiotic use among the former group. Vaginal hysterectomy was associated with more unintended major surgical procedures but less febrile morbidity, bleeding requiring transfusion, hospitalization, and convalescence than abdominal hysterectomy. Vaginal hysterectomy with prophylactic antibiotics should be strongly considered for those women of reproductive age for whom either surgical approach is clinically appropriate.
pubmed:keyword	http://linkedlifedata.com/resource/pubmed/keyword/Age Factors, http://linkedlifedata.com/resource/pubmed/keyword/Americas, http://linkedlifedata.com/resource/pubmed/keyword/Blacks, http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Educational Status, http://linkedlifedata.com/resource/pubmed/keyword/Employment Status, http://linkedlifedata.com/resource/pubmed/keyword/Gynecologic Surgery, http://linkedlifedata.com/resource/pubmed/keyword/Hysterectomy--complications, http://linkedlifedata.com/resource/pubmed/keyword/MORBIDITY, http://linkedlifedata.com/resource/pubmed/keyword/Mortality, http://linkedlifedata.com/resource/pubmed/keyword/North America, http://linkedlifedata.com/resource/pubmed/keyword/Northern America, http://linkedlifedata.com/resource/pubmed/keyword/Nulliparity, http://linkedlifedata.com/resource/pubmed/keyword/Population, http://linkedlifedata.com/resource/pubmed/keyword/Population Dynamics, http://linkedlifedata.com/resource/pubmed/keyword/Surgery, http://linkedlifedata.com/resource/pubmed/keyword/Treatment, http://linkedlifedata.com/resource/pubmed/keyword/United States, http://linkedlifedata.com/resource/pubmed/keyword/Urogenital Surgery
pubmed:language	eng
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/0370476
pubmed:citationSubset	AIM
pubmed:status	MEDLINE
pubmed:month	Dec
pubmed:issn	0002-9378
pubmed:author	pubmed-author:CowartM RMR, pubmed-author:DeStefanoFF, pubmed-author:DickerR CRC, pubmed-author:GreenspanJ RJR, pubmed-author:OryH WHW, pubmed-author:PetersonH BHB, pubmed-author:RubinG LGL, pubmed-author:ScallyM JMJ, pubmed-author:StraussL TLT
pubmed:issnType	Print
pubmed:day	1
pubmed:volume	144
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	841-8
pubmed:dateRevised	2006-11-15
pubmed:otherAbstract	PIP: Although hysterectomy was the most frequently performed major surgical procedure among women of reproductive age during the past decade, few recent studies have been conducted to determine the risk of complications. We examined data from the Collaborative Review of Sterilization, a prospective, multicenter, observational study coordinated by the Centers for Disease Control, to assess the comparative risks of complications among women undergoing hysterectomy by the abdominal and vaginal approaches. Between September 1978-August 1981, 1851 women from 9 institutions were included in the study. Women who underwent vaginal hysterectomy experienced significantly fewer complications than women who had undergone abdominal hysterectomy. The difference was probably attributable to the prevalence and efficacy of prophylactic antibiotic use among the former group. Vaginal hysterectomy was associated with more unintended major surgical procedures but less febrile morbidity, bleeding requiring transfusion, hospitalization, and convalescence than abdominal hysterectomy. Vaginal hysterectomy with prophylactic antibiotics should be strongly considered for those reproductive age women for whom either surgical approach is clinically appropriate.
pubmed:meshHeading	pubmed-meshheading:7148906-Adolescent, pubmed-meshheading:7148906-Adult, pubmed-meshheading:7148906-Age Factors, pubmed-meshheading:7148906-Female, pubmed-meshheading:7148906-Humans, pubmed-meshheading:7148906-Hysterectomy, pubmed-meshheading:7148906-Hysterectomy, Vaginal, pubmed-meshheading:7148906-Postoperative Complications, pubmed-meshheading:7148906-Prospective Studies, pubmed-meshheading:7148906-Risk
pubmed:year	1982
pubmed:articleTitle	Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The Collaborative Review of Sterilization.
pubmed:publicationType	Journal Article, Comparative Study