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Academic literature on the topic 'Hysterectomy patients'

Author: Grafiati

Published: 4 June 2021

Last updated: 9 February 2022

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Journal articles on the topic "Hysterectomy patients"

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Islam, Bassem. "Laparoscopic Hysterectomy Versus Abdominal Hysterectomy of Enlarged Uterus." Women Health Care and Issues 3, no. 1 (February 5, 2020): 01–08. http://dx.doi.org/10.31579/2642-9756/018.

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This prospective interventional to assess feasibility of total laparoscopic hysterectomy (LH) for uteri weighing 280 gm or more. The study included 120 patients divided to 60 patient conducted total laparoscopic hysterectomies and 60 patients conduct total abdominal hysterectomy as standard method. Full history taking, gynecologic examination and ultrasound examination were done to all patients. The following data were collected from every patient in all groups: Age, BMI, uterine weight, Operative time, Estimated intraoperative blood loss, Preoperative hemoglobin and postoperative hemoglobin deficit 12 hours after surgery, intraoperative and Post-operative complications, Time to resumption of bowel movements to normal, Length of hospital stay. The most common indication among our patients was fibroid uterus while adenomyosis came second. All operations were performed by the same surgeons and using the same technique. We observe BMI is not considering as obstacle in laparoscopic group with advancement of anesthesia and sealing system. The mean operating time was slightly but not significally lower in laparoscopic hysterectomy with highly significant difference in the estimated blood loss in favor of laparoscopic group. The total incidence of intra-operative and postoperative complication of patient submitted to laparoscopic hysterectomy lower than conventional hysterectomy group but not statically significantly. There was significant difference in pain scoring, earlier bowel movement and hospital stay in the arm of laparoscopic group.

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MATTHEWS, KIRK J., ELLEN BROCK, STEPHEN A. COHEN, and DAVID CHELMOW. "Hysterectomy in Obese Patients." Clinical Obstetrics and Gynecology 57, no. 1 (March 2014): 106–14. http://dx.doi.org/10.1097/grf.0000000000000005.

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El Shakhs, Soliman A., Moharam A. Mohamed, Mahmoud A. Shahin, and Ahmed M. Eid. "Laparoscopic versus open hysterectomies in obese patients." International Surgery Journal 5, no. 12 (November 28, 2018): 3893. http://dx.doi.org/10.18203/2349-2902.isj20185014.

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Background: Hysterectomy is one of the most frequently performed surgical procedure. Though there are three approaches in hysterectomy (open, vaginal and laparoscopic), still there are controversies regarding the optimal route for performing it.Methods: This prospective comparative study included 42 obese patients subjected for pan-hysterectomy as a treatment. The forty-two patients were allocated into two groups: group (A) subjected to laparoscopic pan-hysterectomy, group (B) subjected to open pan-hysterectomy.Results: There was significant difference between the two groups regarding mean operative time, blood loss, analgesic requirements and hospital stay, while no significant difference regarding intra-operative complications.Conclusions: Laparoscopic hysterectomy in obese patients has emerged as a viable, safe and better alternative to open hysterectomy amongst appropriately trained surgeons.

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IKRAM, M., SHAZIA JABEEN, and M. SAEED. "HYSTERECTOMY." Professional Medical Journal 19, no. 02 (February 22, 2012): 214–21. http://dx.doi.org/10.29309/tpmj/2012.19.02.2015.

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Abdominal hysterectomy, the procedure by which almost 90% of hysterectomies are currently being done. Laparoscopicassisted vaginal hysterectomy has been introduced as an alternative to abdominal hysterectomy, and is thought to allow a more rapid return tonormal activity. Laparoscopic assisted vaginal hysterectomy has less postoperative morbidity and quicker recovery than abdominalhysterectomy. Objective: To compare the laparoscopic assisted vaginal hysterectomy with total abdominal hysterectomy in term of operativetime, per operative blood loss and post-operative wound infection. Study Design: Randomized trial. Setting: This study was carried out in thedepartment of obstetrics and gynaecology, Shaikh Zayed Hospital, Lahore. Period: Six months (15th September, 2008 to 15th March 2009).Patients and methods: Eighty patients fulfilling the inclusion criteria were selected for this study. Patients were equally divided in two groups;group A (laparoscopic assisted vaginal hysterectomy) and group B (total abdominal hysterectomy). Operative time (in minutes), blood loss (inml) as estimated and post-operative wound infection was assessed by presence or absence of wound discharge, redness and edema aroundthe incision on 3rd, 5th and 7th post-operative day. Results: The mean ages of women in group A was 49.13+4.26 and 45.68+4.54 years ingroup B. The maximum number of parity between 3-4 was 19 in group A and 20 in group B. Mean weights of cases in group A was 65.60+10.45kilograms and 70.77+15.59 kilograms in groups B. The per-operative time in group A was 105.13+6.55 minutes and 83.38+14.82 minutes ingroup B. The mean blood loss in group A was 178.0+43.51 ml and 228.25+72.49 ml in group B. The wound discharge was not found in group A,while in group B, 4 cases (10%) on 3rd post-operative day, 6 cases (15%) on 5th post-operative day and 11 cases 27.5% on 7th post-operative.Conclusions: Laparoscopic assisted vaginal hysterectomy has a quicker post-operative recovery but at the expense of a bit long duration ofsurgery. Laparoscopic vaginal assisted hysterectomy is a feasible option in a selected group of patients who would otherwise require anabdominal hysterectomy. The drug requirement to control pain and level of pain experienced by patients were also significantly less.

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Scriven, Angela, and Anne Chesterton. "Information needs of hysterectomy patients." Nursing Standard 9, no. 7 (November 9, 1994): 36–37. http://dx.doi.org/10.7748/ns.9.7.36.s44.

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Perveen, Saima, Farrukh Naheed, and Asma Batool. "GYNAECOLOGICAL HYSTERECTOMY;." Professional Medical Journal 21, no. 03 (June 10, 2014): 432–35. http://dx.doi.org/10.29309/tpmj/2014.21.03.2121.

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Objective: To audit indications and outcome of hysterectomies in Fatima HospitalBaqai Medical University Karachi so as to improve the quality of care provided to patients. StudyDesign: Descriptive observational study. Place and Duration of Study: Department ofObstetrics and Gynaecology, Fatima hospital, Baqai Medical University Karachi from November2009 to November 2011. Patients and Methods: All patients undergoing hysterectomy forgynaecological conditions from 2009 to 2011were included in the study. Results:Hysterectomies for gynaecological conditions accounted for184 cases during the study period.Mean age of patient was 49 (range 30-60 years). Mean parity was 6 (range 0-11). The mostcommon indication for hysterectomy was fibroid uterus56(30.4%) cases, dysfunctional uterinebleeding 38 (20.6%) cases, and uterovaginal prolapse 10 (5.4%) cases. Abdominal hysterectomyaccounted for 174(96.6%) and vaginal hysterectomy accounted for 10 (5.4%) cases. Twenty six(14%) patients were found to be suffering from hypertension,6(3.3%)patients were suffering fromdiabetes mellitus. Wound infection occurred in 11 (6%) cases. No mortality was associated withhysterectomy during the study period. The duration of hospital stay was less in vaginal route ascompared to abdominal. Conclusions: An audit should be carried out every year to improve thelevel of care of patients and also the expertise of surgeon should be checked. The study hasshown that hysterectomy is a safe procedure but the high morbidity associated with thisprocedure is bothersome. The other options like endometrial ablation, intrauterine hormonaldevice like mirenaetc should also be considered. More efforts should be made on vaginalhysterectomies as it is economical and morbidity is less with it.

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IKRAM, MUHAMMAD, ZOONA SAEED, ROOHI SAEED, and Uhammad Saeed. "ABDOMINAL VERSUS VAGINAL HYSTERECTOMY;." Professional Medical Journal 15, no. 04 (March 10, 2008): 486–91. http://dx.doi.org/10.29309/tpmj/2008.15.04.2866.

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Objective: To evaluate abdominal versus vaginal hysterectomy in relation to operative and post operative complications.Design: Single centre cross sectional study. Place and duration: The Department of Obstetric and Gynaecology, Shaikh Zayed post graduateMedical institute and Hospital, Lahore from 1 November 2005 to 31 October 2006. Subject and methods: All the patients with benign st stindications for hysterectomy (abdominal and vaginal) were included except patients with serious / complicated medical disease. Relativeinformations were filled in a Performa and informations were taken from case records. Results: This audit report included 200 women. 23.3%patients of vaginal hysterectomy were in the age group of 40-45 years while 35.7%patients of abdominal hysterectomy were in the age of 51-55years. Main indication for abdominal hysterectomy (85.5%) was fibroid uterus while for vaginal hysterectomy (66.6%) was Uterovaginal prolapse.Most common immediate post operative complication in abdominal and vaginal hysterectomy was fever in 42.8% and 20.0% respectively.Intraoperative visceral injuries were done in 4 patients in abdominal hysterectomy while no injury was done in vaginal hysterectomy. 44(80%)patients of vaginal hysterectomy were discharged with in 7 days of hospitalization while 64 (44%) patients of abdominal hysterectomy weredischarged with in 7 days of hospitalization. Conclusion: Hysterectomy either abdominal or vaginal is very safe and there were no lethalcomplication except few minor complications and also there was no mortality.

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Shrestha, R., and LH Yu. "Comparison between Laparoscopic Hysterectomy and Abdominal Hysterectomy." Nepal Journal of Obstetrics and Gynaecology 9, no. 1 (September 28, 2014): 26–28. http://dx.doi.org/10.3126/njog.v9i1.11183.

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Aims: Hysterectomy can be performed by abdominal, vaginal and laparoscopic methods. Laparoscopic hysterectomy has been reported as an alternative to traditional abdominal hysterectomy with benefit of early recovery, short hospital stay and less operative complications. This study compared laparoscopic versus abdominal hysterectomy in terms of surgery time, blood loss, post-operative recovery, and duration of hospital stay. Methods: This is a retrospective comparative study among sixty patients who underwent laparoscopic or abdominal hysterectomy for various indications in the Department of Obstetrics and Gynaecology of the Third affiliated hospital of Zhengzhou University from January to March 2007. The data of the patients meeting the set criteria were obtained from the hospital records and hospital based computerized coding system. Enrolled cases were divided in two groups with thirty in each arm. Group TLH (total laparoscopic hysterectomy) was designated for patients who underwent total laparoscopic hysterectomy and group TAH (total abdominal hysterectomy) for those who underwent total abdominal hysterectomy. Results: There was comparatively less blood loss in TLH group (60.2±5.17 ml versus 75.7±7.12 ml) but it was statistically insignificant (p=0.12). The laparoscopic hysterectomy took longer time (107.6±32.4 min versus 74.9±31.1 min) than the abdominal (p<0.001). There was early recovery among TLH group 1.6±0.6 days versus 2.1±0.5 days in TAH group (p=0.001). Mean duration of hospital stay was significantly shorter in TLH group 7.6±1.9 days versus 10.1±2.1 days in TAH group (p<0.001). Conclusions: Laparoscopic hyserectomy is an effective alternative to abdominal hysterectomy with the advantage of less intra-operative blood loss, fast recovery and short hospital stay. DOI: http://dx.doi.org/10.3126/njog.v9i1.11183 NJOG 2014 Jan-Jun; 2(1):26-28

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El-Dorf, Ayman. "Minilaparotomy hysterectomy Versus laparoscopic hysterectomy for benign uterine lesions A Comparative study." Women Health Care and Issues 3, no. 4 (December 28, 2020): 01–06. http://dx.doi.org/10.31579/2642-9756/037.

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Background: Hysterectomy is world wide's second most commonly done gynecological surgery, second only to the caesarean section. There is no general consensus, however, about the optimal hysterectomy process. Hysterectomy may be achieved through different techniques such as stomach, vaginal and laparoscopic. The goal of the study is to explore whether the hysterectomy of minilaparotomy for benign uterine lesions may be a viable option to laparoscopic hysterectomy in terms of short-term operational and postoperative performance. Methods: 105 patients who were due to undergo complete hysterectomy for a benign uterine lesion were split into 3 categories according to their preference of therapeutic therapy method: group A (35 patients) minilaparotomy hysterectomy utilizing traditional sutures. Group B (35 patients) minilaparotomy hysterectomy utilizing bipolar vessel sealing procedure (Ligasure). Group C (35patients) laparoscopic hysterectomy using Ligasure. Result (s): The operating time in Group A (84.71 ± 9.91 minutes), group B (55.31 ± 7.81 minutes), while group C (94.81 ± 16.1 minutes).The duration until resumption of intestinal sounds in group C (12.31 ± 2.51 hours) in comparison to group A (17.41 ± 1.91 hours) and group B (16.51 ± 1.761 hours). Blood loss in group B (99.11 ± 30.81 ml), group A (130.31 ± 54.41 ml) and group C (136.61 ± 6.61 ml). The longest hospital stay occurred in group A (31.8 1± 5.71 hours) versus groups B (20.71 ± 2.51 hours) and C (19.31 ± 6.1 hours). The highest pain score was observed in group A (5.21 ± 1.11) versus groups B (3.81 ± 1.61) and C (3.71 ± 1.21). There was no significant difference in the incidence of intraoperative or postoperative complications. Conclusion (s): Less operational time and intraoperative blood loss were correlated with the usage of ligasure bipolar vessel sealing device in minilaparotomy hysterectomy, whereas it was comparable to laparoscopic hysterectomy in hospital stay and low morbidity postoperative pain scoring and a limited hospital stay. It can be an acceptable alternative to laparoscopic hysterectomy, suitable in areas without laparoscopic experience or facilities.

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Pervin, Shahana, Farzana Islam Ruma, Khadija Rahman, Jannatul Ferdous, Rifat Ara, Mollah Mohamed Abu Syed, and Annekathryn Goodman. "Adjuvant Hysterectomy in Patients With Residual Disease After Radiation for Locally Advanced Cervical Cancer: A Prospective Longitudinal Study." Journal of Global Oncology, no. 5 (December 2019): 1–7. http://dx.doi.org/10.1200/jgo.18.00157.

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PURPOSE The aim of the study was to evaluate the efficacy of hysterectomy in the control of pelvic disease in patients with post-irradiated residual cervical cancer. PATIENTS AND METHODS Forty patients were treated at either National Institute of Cancer Research and Hospital (NICRH) or Delta Cancer Hospital in Dhaka, Bangladesh, with International Federation of Gynecology and Obstetrics stage IIB to IIIB disease with residual disease after the following: either concurrent chemoradiation with or without brachytherapy, induction chemotherapy and external-beam radiotherapy (EBRT) with or without brachytherapy, or only EBRT. Patients were treated by either radical hysterectomy or extrafascial hysterectomy. RESULTS From 2009 to June 2013, 55 patients were evaluated for central residual disease on their presentations to NICRH or Delta Hospital. Patients with distant recurrences after primary radiation were excluded. Forty patients had invasive cancer on biopsy and underwent either radical hysterectomy or extrafascial hysterectomy. Surgery was performed 14 to 18 weeks after the initial treatment. Of the 29 women who underwent extrafascial hysterectomy, four (13.8%) developed recurrent disease, and one died; none of the 11 patients treated by radical hysterectomy experienced recurrences during the study period. Morbidity was increased in patients who underwent radical hysterectomy. Overall 90% of patients (36 of 40 patients) who underwent surgery had no evidence of disease at 5 years of follow-up. CONCLUSION Surgery is a viable treatment option for patients with residual cervical cancer after radiation. Radical hysterectomy after radiation is more morbid but has better tumor control than extrafascial hysterectomy.

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Dissertations / Theses on the topic "Hysterectomy patients"

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Mahapa, Daniel Tlou. "Profile of patients who had hysterectomy in private practice in Pretoria between 2005 and 2009." Thesis, University of Limpopo ( Medunsa Campus ), 2011. http://hdl.handle.net/10386/651.

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Agu, Blessing. "Patients and Nurses Attitudes to Hysterectomy and Postoperative Pain Management." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4265.

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Over 500,000 hysterectomies are performed yearly in the United States, and they often result in a moderate to severe amount of pain. Nurses play a significant role in postoperative pain management. However, studies have shown that despite technological advances and nurses' theoretical knowledge of pain, postoperative pain management remains a challenge among healthcare providers. The purpose of this study was to examine how nurses' and patients' attitude towards abdominal hysterectomy can impact postoperative pain management and hospital length of stay after a hysterectomy. Informed by the theory of reasoned action, the study examined the differences in the nurses' and patients' attitudes to abdominal hysterectomy and postoperative pain management. It also examined the correlation between attitudes toward postoperative pain management and hospital length of stay after a hysterectomy. A convenience sample of 147 participants were recruited from a self-administered online survey. Using the SPSS software, data was analyzed by an independent t test, Pearson correlation, and multiple regression. No statistical difference was found between patients and nurses' attitudes toward abdominal hysterectomy. However, a significant difference was found between the attitudes of each group toward postoperative pain management. There was also a strong negative correlation between attitudes to postoperative pain management and hospital length of stay. This study may aide nurses on ongoing pain management education for both new and seasoned nurses in practice. It will also help hospitals with pre- and postoperative patient education, which will lead to better collaboration with their nurse caregivers. Finally, this study will add to the existing body of research.

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Elessawy, Mohamed [Verfasser]. "Hysterectomy, a comparative study of the different Hysterectomy Routes 2002-2010: a retrospective analysis for 954 patients / Mohamed Elessawy." Kiel : Universitätsbibliothek Kiel, 2013. http://d-nb.info/1045603937/34.

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Arbeeny-Touhey, Darian. "The relationship between self-esteem and perception of surgery among hysterectomy patients /." Staten Island, N.Y. : [s.n.], 1992. http://library.wagner.edu/theses/nursing/1992/thesis_nur_1992_arbee_relat.pdf.

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Dougall, Lauren Dawn. "The peri-operative pain management of total abdominal hysterectomy patients at an academic hospital." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29752.

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This study was undertaken to assess the performance of the peri-operative pain management and describe the patient satisfaction following elective total abdominal hysterectomy cases at Rahima Moosa Mother and Child Hospital in Johannesburg, South Africa. The data obtained were collected utilising the questionnaire of the international pain registry PAIN-OUT, to allow for a standardised means of assessment and follow-up. All patients who presented for this procedure during a three-month period from September to November 2015 were approached on the first post-operative day. Patient demographics and details regarding the peri-operative interventions were collected from patient charts and a self-reported patient questionnaire was completed. The data obtained examined the personal pain experience as well as resultant functional limitations and emotional factors involved. Medication side-effects, patient opinions regarding appropriateness of their pain management, their degree of participation, whether information was offered to them and their overall satisfaction levels with care was sought. The study included 76 patients and highlighted unacceptable acute pain levels. It revealed deficiencies in administration of analgesics on the ward and a lack of standardised protocols or collaboration between Anaesthesiology and Gynaecology in managing acute postoperative pain. Patients were not uniformly advised regarding the post-operative expectations of their pain and non-pharmacological measures were not emphasised by the treating team. Despite these deficiencies, patients reported high levels of satisfaction with the care received. The information provided allows for a more focused quality improvement strategy to manage acute post-operative pain in this group more effectively and move toward better collaboration between departments involved in the care of patients peri-operatively.

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Frida, Vallius, and Johansson Anna. "Varför sa ingen något? : En litteraturöversikt om patienters behov av information i samband med hysterektomi." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5271.

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Bakgrund: I Sverige är det vanligaste större gynekologiska ingreppet hysterektomi, som innebär att livmodern avlägsnas. Denna operation kan vara påfrestande för kvinnan på grund av att livmodern ofta har stor betydelse som symbol för kvinnlighet och fertilitet, vilket gör att operationen kan medföra psykiska påföljder så som depression. En av sjuksköterskans uppgifter vid operationen är att göra patienten delaktig i sin vård. Delaktighet kräver en god vårdrelation där patienten får adekvat information. Syfte: Syftet med litteraturöversikten var att beskriva patienters behov av information från vårdpersonal i samband med hysterektomi. Metod: En litteraturöversikt baserad på 11 vetenskapliga artiklar som svarade på syftet. Artiklarna inhämtades från databaserna Cinahl Complete och PubMed. Båda författarna läste och granskade artiklarna för att sammanställa de meningsbärande enheterna. I de meningsbärande enheterna fann författarna likheter och skillnader. Materialet sorterades och presenteras under huvudteman med tillhörande underteman. Resultat: Resultatet presenteras i tre huvudteman, varav två av dem har underteman. Huvudtemana består av; Behov av att få veta, Individanpassad information och Konsekvenser av bristande information. Kvinnor upplevde att de hade ett behov av att få veta vad som väntade dem och när detta inte uppfylldes ledde det till bland annat oro och rädsla. Konsekvenserna av bristande information från vårdpersonalen var även att kvinnors delaktighet i vården påverkades och att information söktes på annat håll. Diskussion: Hildegard Peplaus omvårdnadsteori användes vid resultatdiskussionen, då denna kan vara ett stöd för sjuksköterskan vid undervisande och informativa möten. Det diskuteras kring att utvecklingen av vårdrelationen har stor betydelse för hur information ges och på vilket sätt det uppfattas. Vidare diskuteras på vilket sätt vårdrelationen och delaktighet kan integreras i vården för att sjuksköterskan ska kunna ge en god omvårdnad.
Background: In Sweden the most common gynecological surgery is hysterectomy which is a procedure where the uterus is removed. This kind of surgery might be difficult for the patient because the uterus has great significance as a symbol of femininity and fertility. This means that the operation can lead to reactions such as mental depression. One of the nurses functions at surgery is to participate the patient in their care. Participation of the patient requires a good nurse-patient relationship in which the patient receives adequate information. Aim: The aim of this literature review was to describe patient’s needs for information from health professionals during hysterectomy. Method: A literature review that was based on 11 original papers which also responded to the purpose. The used databases were Cinahl Complete and PubMed. Both authors read and reviewed the articles to compile their meaningful units. In the meaningful units the authors found similarities and differences. The material was then sorted and presented under main themes with matching subthemes. Results: The results are presented in three main themes, where two of them has subthemes. The mainthemes are; The need to know, Individualized information and The consequenses of insufficient information. Women experienced that they had a need to know what was going to happen, and when this was not fullfilled it caused feelings such as anxeity and fear. The consequenses of insufficient information from health professionalswas that women's participation in their care was affected and they ended up seeking information elsewhere. Discussion: The discussion is based on Hildegard Peplau's nursing theory, which can be used as a support for the nurse in educational and informative meetings. It is discussed that the development of the nurse-patient relationship has great significance for how information is being presented and how it is being perceived. Further discussed is in what way the nurse-patient relationship and participation can be integrated within the care in order to provide a good care.

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Raatikainen, Daniéla, and Åsa Åkerlind. "Oavsiktlig hypotermi i den intraopeativa fasen : En randomiserad pilotstudie och instrumentutveckling." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17947.

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Oavsiktlig hypotermi är ett ämne som hamnat i skymundan i den hektiska intraoperativa fasen för anestesisjuksköterskan. Patientens nedkylning påbörjas redan vid de preoperativa förberedelserna. En salstemperatur under 22˚C är den vanligaste orsaken till hypotermi hos patienterna och deras kroppstemperatur bör inte understiga 36,5˚C. Förebyggande åtgärder som att använda värmefiltar, salstemperatur på 22˚C-23˚C, varma infusioner i blodvärmare, inte exponera mer hud än nödvändigt samt postoperativt använda sig av värmetak. Kroppstemperaturen bör övervakas vid operationer längre än 30 minuter. Genom ökat fokus på kroppstemperaturen i den intraoperativa fasen kan postoperativa komplikationer minskas samt förkorta vårdtiden. Kan påverkbara faktorer under den intraoperativa fasen påverka och minska risken för oavsiktlig hypotermi? Fokus ligger på utvärdering av metod och mätinstrument. Syftet med den randomiserade pilotstudien är att undersöka patienter som drabbas av oavsiktlig hypotermi som genomgår hysterektomi med generell anestesi. Metoden är en kvantitativ pilotstudie med randomiserat urval samt en litteraturgranskning för förbättring av instrumentutveckling. Antalet deltagare i studien var 15 stycken, inga generella slutsatser kan dras. Mild hypotermi har 60 % av deltagarna redan innan operationsstart. Tio av 15 patienter uppnår ej 37°C under de första 30 minuterna oavsett bair hugger eller ej. Temperaturtagning 30 minuter efter ankomst till postoperativaavdelningen är mellan 35,4°C-37,2˚C. För att få ett heltäckande formulär om den perioperativa vården utförs en instrumentutveckling inför kommande primärstudie. Anestesisjuksköterskan är ansvarig för att förebygga och åtgärda hypotermi i enlighet med vad som är bäst för patienten. Vårdtagaren ska alltid stå i centrum och hypotermi är något som lätt kan åtgärdas bara medvetandet inom kunskapsområdet ökar.
Program: Specialistsjuksköterskeutbildning med inriktning mot anestesisjukvård

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Gorvy, Elaine Sharon. "Post-operative psychotherapeutic assistance for hysterectomy patients." Thesis, 2014. http://hdl.handle.net/10210/10817.

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Russell, Samantha Lee. "Determining the post-operative opioid requirements of patients post total abdominal hysterectomy with a bupivacaine infusion in the incisional site." Thesis, 2010. http://hdl.handle.net/10539/8828.

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MMed, Faculty of Health Sciences, University of the Witwatersrand
Postoperative pain is prevalent and not optimally managed in most patients. Pain can lead to adverse emotional and systemic consequences. Numerous device orientated studies have been done in other countries looking at the effect of infusions of local anaesthetic at the wound site postoperatively via an elastomeric pump. There have however been no similar studies done in South Africa. The aims of this study was to assess whether the use of an incisional wound catheter and 0.39% bupivacaine infusion in patients post total abdominal hysterectomy for a 30 hour period will decrease opioid requirements compared to a control group having only systemic analgesia. Pain intensities were also documented at set observation periods. The opioid requirements between the 2 groups were comparable however the participants who had the bupivacaine infusion in their incisional site had less pain intensity scores until 6 hours post operation and had less pain intensity on movement at 30 hours post operation. A bupivacaine infusion in the incisional site decreases pain intensity in the above mentioned parameters but does not reduce opioid requirements.

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"The effect of pre-operative psychological interventions on post-operative outcomes of patients having hysterectomy." 1999. http://library.cuhk.edu.hk/record=b5890006.

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by Li Ho Cheung, William.
Thesis (M.Phil.)--Chinese University of Hong Kong, 1999.
Includes bibliographical references (leaves 82-88).
Abstracts in English and Chinese.
Abstract --- p.ii
Acknowledgements --- p.vi
Table of Contents --- p.vii
List of Tables --- p.viii
List of Appendices --- p.x
Chapter Chapter 1 : --- Introduction and Literature Review --- p.1
Chapter Chapter 2 : --- Method --- p.31
Chapter Chapter 3 : --- Results --- p.48
Chapter Chapter 4 : --- Discussion --- p.60
Reference --- p.82
Appendices --- p.89

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Books on the topic "Hysterectomy patients"

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The castrated woman: What your doctor won't tell you about hysterectomy. New York: F. Watts, 1986.

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Roberts, Helen. The patient patients: Women and their doctors. London: Pandora Press, 1985.

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Porter, Ralph. Bullwhip. Studio City, CA: Players Press, 2004.

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Cox, Kathryn. The well-informed patient's guide to hysterectomy. New York, N.Y: Dell Pub., 1990.

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S, Levy Barbara, ed. So you're having a hysterectomy. Hoboken, N.J: Wiley, 2003.

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The essential guide to hysterectomy: A gynecologist's advice on your choices before, during, and after surgery, including alternatives to hysterectomy. New York: M. Evans & Company, 2004.

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Edwards, Pamela M. What do hysterectomy patients want to talk about?: Women's experience of hysterectomy. 1996.

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Bailey, Carolyn Kent. Out With It: The Diary of My Hysterectomy. Creative Works Publishing, 2002.

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Mcdaniel, Gretchen Montaree Schaefer. THE EFFECTS OF TWO METHODS OF DANGLING ON HEART RATE AND BLOOD PRESSURE IN POSTOPERATIVE ABDOMINAL HYSTERECTOMY PATIENTS. 1989.

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Angels And Manners. Bywater Books, 2010.

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Book chapters on the topic "Hysterectomy patients"

1

Hill, Amanda M., Lindsay Clark Donat, and Masoud Azodi. "Hysterectomy Techniques for Obese Patients." In Hysterectomy, 991–99. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_75.

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Mikhail, Emad. "Abdominal Hysterectomy for Obese Patients." In Hysterectomy, 1203–8. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_96.

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Tinelli, Raffaele, and Ettore Cicinelli. "Laparoscopic Hysterectomy (TLH) in Obese Patients." In Hysterectomy, 697–702. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_49.

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Noé, Guenter K., and Michael Anapolski. "Total Laparoscopic Hysterectomy in Patients with Bulky Uterus." In Hysterectomy, 555–63. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_36.

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Limperger, Verena, Florian Langer, Rolf Mesters, Ralf Ulrich Trappe, and Ulrike Nowak-Göttl. "Perioperative Management of Antithrombotic Therapy in the Periprocedural Period of Patients Undergoing Hysterectomy." In Hysterectomy, 299–305. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_19.

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Hsiao, Katherine T. "Fertility Preservation Options for Transgender and Trans Masculine Patients Planning Hysterectomy." In Gender Confirmation Surgery, 115–22. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29093-1_13.

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Brydges, Ninotchka, Lesley Boyko, and Javier D. Lasala. "Total Abdominal Hysterectomy, Bilateral Salpingo-oophorectomy, and Pelvic Lymphadenectomy in Cancer Patients." In Oncologic Critical Care, 1–13. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74698-2_184-1.

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Brydges, Ninotchka, Lesley Boyko, and Javier D. Lasala. "Total Abdominal Hysterectomy, Bilateral Salpingo-oophorectomy, and Pelvic Lymphadenectomy in Cancer Patients." In Oncologic Critical Care, 1837–49. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74588-6_184.

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Tamussino, Karl. "Vaginal Hysterectomy in the Obese Patient." In Hysterectomy, 1567–69. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-22497-8_128.

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Leape, Lucian L. "Who Can I Trust? Ensuring Physician Competence." In Making Healthcare Safe, 319–53. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71123-8_20.

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AbstractGwyneth Vives, a scientist at Los Alamos National Laboratory in New Mexico, suffered a complication and bled to death 3 hours after giving birth to a healthy boy in 2001. It was 4 days before Christmas. Vives suffered a vaginal tear and other lacerations during the delivery that caused profuse bleeding. Her obstetrician, Pamela Johnson, was sued for failure to order a blood transfusion for Vives as well as abandonment since she had turned over repair of the vaginal tear to a midwife. Two other patients also sued Johnson. Jean Challacombe alleged that Johnson tore her bowel and uterus while doing a dilation and curettage the same day Vives died. Tanya Lewis accused Johnson of doing an unnecessary hysterectomy.

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Conference papers on the topic "Hysterectomy patients"

1

Shukla, H., K. Batra, R. Sekhon, S. Giri, and S. Rawal. "Over view of clinical presentation, management and outcome of cervical cancer: A tertiary cancer centre experience." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685265.

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Objectives: (a) To understand the profile of cervical cancer patients attending our hospital from January 2011 till January 2015. (b) To audit the type of care given to the patients with respect to their stage at presentation. (c) To compare the outcomes of open v/s robotic radical hysterectomy done for cervical cancer. Methods: We prospectively analyzed all cases of cervical cancer from January 2011 to January 2015 presenting at our institute. Data was retrieved from patient’s records and institute’s tumor registry. We compared all patients undergoing open v/s robotic RH. All the data were analysed using SPSS version 21. Results: A total of 562 patients were treated for cervical cancer during the time period between 2011-2015. Of these there were 316 (56%) cases taken up for surgery-212 robotic RH, 104 open radical hysterectomy and rest 246 (44%) patients received definitive CCRT. Most common age group was 40-54 yrs. IB1 stage was most common presenting stage. SCC was most common histology (75%). Immediate post op complication and oncological safety in terms of local recurrence was same in both groups. However length of stay and post operative blood requirement was significantly lower in robotic RH group. 45% of all patients who underwent surgery did not require adjuvant therapy in post op period while 35% patient required post op RT and 20% CCRT. 2.2% patient had local recurrence and most of the patients were in stage IIA1 at presentation. Conclusion: Cervical cancer is the most common gynecological cancer in our hospital registry. Mostly women were in the age group of 40-54 years. Most common stage at presentation was 1B and the histology being SCC. Not many differences seen in open v/s robotic techniques of radical hysterectomy except for shorter hospital stay and less need of blood transfusion in the robotic group. Local recurrence rates are comparable in both open and robotic groups.

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Sousa, M., G. Cintra, M. Vieira, R. Reis, M. Santos, and CE Andrade. "210 Recurrence after radical hysterectomy in early cervical cancer patients." In IGCS Annual 2019 Meeting Abstracts. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/ijgc-2019-igcs.210.

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Singhal, Seema, Sunesh Kumar Jain, D. N. Sharma, Sandeep Mathur, Juhi Bharti, Anshu Yadav, K. K. Roy, Neeta Singh, and Jyoti Meena. "Clinicopathological analysis of early endometrial cancers." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685344.

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Aim: The study objectives were evaluation of clinicopathological characteristics, correlations between the preoperative and postoperative tumor assessment in early stage endometrial cancer. Materials and Methods: We conducted a prospective descriptive study of 30 cases of endometrial cancer stage 1 examined and treated at a tertiary care teaching institute between the years 2014-15. Results: The patients’ mean age at the time of diagnosis was 56.4 years. The mean parity was two. Postmenopausal bleeding with or without abnormal vaginal discharge was the most frequent symptom; it was present in 84.7% of patients. Co morbidities like hypertension and diabetes were seen in 65% of women. 6/30 patients had family history of some malignancy. All the patients underwent Type I extrafascial hysterectomy with bilateral salpingo oophorectomy, one case had Type I extrafascial hysterectomy with infracolic omentectomy. A total of 10.6% cases had lymph nodes metastasis and none of these patients had ovarian metastasis or positive peritoneal cytology. None of the patients with superficial myometrial invasion (MI) had lymph node metastasis. None of the cases showed positive peritoneal cytology. Staging upgraded fom 1a to 1b in 50% of subjects after final histopathological analysis. One patient who was operated as endometrial hyperplasia with atypia actually had endometrial adenocarcinoma in the postoperative specimen. Conclusions: There is a poor correlation between the preoperative and the postoperative tumor assessment.

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Singhal, Seema, Sunesh Kumar Jain, D. N. Sharma, Sandeep Mathur, Juhi Bharti, Anshu Yadav, K. K. Roy, Neeta Singh, and Jyoti Meena. "Clinicopathological analysis of early endometrial cancers." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685338.

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Aim: The study objectives were evaluation of clinicopathological characteristics, correlations between the preoperative and postoperative tumor assessment in early stage endometrial cancer. Materials and Methods: We conducted a prospective descriptive study of 30 cases of endometrial cancer stage 1 examined and treated at a tertiary care teaching institute between the years 2014-15. Results: The patients’ mean age at the time of diagnosis was 56.4 years. The mean parity was two. Postmenopausal bleeding with or without abnormal vaginal discharge was the most frequent symptom; it was present in 84.7% of patients. Co morbidities like hypertension and diabetes were seen in 65% of women. 6/30 patients had family history of some malignancy. All the patients underwent Type I extrafascial hysterectomy with bilateral salpingo oophorectomy, one case had Type I extrafascial hysterectomy with infracolic omentectomy. A total of 10.6% cases had lymph nodes metastasis and none of these patients had ovarian metastasis or positive peritoneal cytology. None of the patients with superficial myometrial invasion (MI) had lymph node metastasis. None of the cases showed positive peritoneal cytology. Staging upgraded from 1a to 1b in 50% of subjects after final histopathological analysis. One patient who was operated as endometrial hyperplasia with atypia actually had endometrial adenocarcinoma in the postoperative specimen. Conclusions: There is a poor correlation between the preoperative and the postoperative tumor assessment.

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Soni, Tej Prakash, Aaditya Prakash, Tinku Takia, and Jaishree Goyal. "Radiotherapy after hysterectomy in carcinoma cervix: Audit from a tertiary care cancer hospital in India’s largest state “Rajasthan”." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685274.

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Purpose: To explore the reasons of hysterectomy and indications of post-hysterectomy radiotherapy in carcinoma cervix cases. Methods: From January 2013 to May 2015, medical records of 64 cases of carcinoma cervix (post-hysterectomy) who were referred for radiotherapy to our hospital were analyzed retrospectively. Results: Medical records of 64 cases were reviewed. The median age was 47 years. In 45% of females hysterectomy was done in towns, but in majority of cases (55%) hysterectomy was done in different cities of Rajasthan. Simple hysterectomy was done in 31 of (48%) cases. Wertheim’s hysterectomy was done in remaining 33 cases (52%). 15 cases (23%) were treated by IMRT technique, while remaining 87% cases were treated by 3DCRT technique to dose of 50 Gy in 25 fractions followed by CVS brachytherapy. All cases also received concurrent chemotherapy. Reason for hysterectomy was analyzed. In 32 (50%) cases, biopsy from gross lesion at cervix or PAP smear test was not done before surgery. In 32 cases (50%) understaging of the tumor or inadequate staging before hysterectomy was performed. Histopathology report analysis revealed that in 9 cases (14%) primary tumor size was less than 4 cm, in 27 cases (64%) there was no comment on pT size, in 22% cases primary tumor was larger than 4 cm. Surprisingly in one case the pT size was 7 cm. LVSI was not seen in 18 cases (28%), positive in 20 case (31%) and with no comment in 26 cases. More than 50% of stroma thickness was involved in 54 cases (84%), and in remaining 10 cases there was no comment on stroma invasion. In 33 cases (52%) pelvic lymphadenectomy was done, in 48% cases lymph nodes were not addressed in surgery. In 36 cases (56%) pelvic lymph node metastasis was seen either in preoperative imaging (USG/CT scan) or in histopathology. Median follow-up duration was 6 months. Locoregional failure was seen in 10 cases (16%), 6 cases (9%) also developed distant metastasis. Conclusion: Failure to perform biopsy from gross lesion at or under staging/inadequate staging before surgery was the main reasons for inappropriate hysterectomy for carcinoma cervix. Inappropriate hysterectomy followed by chemo-radiotherapy resulted in poor tumor control rate as in our study, 1 out of every 4 patients failed loco-regionally with median follow up of 6 months. Strict adherence to guidelines for cervical cancer diagnosis and treatment is advised to prevent inappropriate hysterectomy.

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Rodriguez, J., J. Rauh Hain, J. Saenz, D. Isla, G. Rendón, D. Odetto, F. Martinelli, et al. "207 Oncological outcomes of minimally invasive radical hysterectomy versus radical abdominal hysterectomy in patients with early stage cervical cancer: a multicenter retrospective analysis." In IGCS 2020 Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/ijgc-2020-igcs.178.

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Sun, Hongxia, and Yufei Cai. "Effects of hysterectomy on ovarian function in patients with retaining uterine blood vessel." In 2015 International Conference on Food Hygiene, Agriculture and Animal Science. WORLD SCIENTIFIC, 2016. http://dx.doi.org/10.1142/9789813100374_0005.

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Haber, H., A. Pelletier, S. Leung, and C. Feltmate. "244 Cost-effectiveness of preoperative type and screen in patients undergoing laparoscopic hysterectomy." In IGCS 2020 Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/ijgc-2020-igcs.209.

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Japaridze, M. "EP318 Laparoscopically assisted vaginal hysterectomy: best surgical approach in patients with endometrial/cervical cancer?" In ESGO Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/ijgc-2019-esgo.379.

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Klasa, L., S. Sawicki, and D. Wydra. "EP333 Laparoscopic radical hysterectomy compared to laparotomy in patients with early-stage cervical cancer." In ESGO Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/ijgc-2019-esgo.392.

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Reports on the topic "Hysterectomy patients"

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Mameti, Lilian. Open Hysterectomy for a Patient with Fibroids. Touch Surgery Publications, August 2019. http://dx.doi.org/10.18556/touchsurgery/2016.s0167.

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Mameti, Lilian. Open Hysterectomy for a Patient with Fibroids. Touch Surgery Simulations, August 2019. http://dx.doi.org/10.18556/touchsurgery/2019.s0167.

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