BMJ  2005;330 (25 June), doi:10.1136/bmj.330.7506.0-c

Methods of hysterectomy: the hierarchy is clear

Vaginal hysterectomy should be the preferred surgical method in women with benign disease, and where vaginal hysterectomy is not possible, the laparoscopic method is preferable to abdominal hysterectomy. The systematic review and meta-analysis by Johnson and colleagues (p 1478) included 27 trials and 3643 participants. Outcomes such as return to normal activities, duration of hospital stay, and unspecified infections and febrile episodes were significantly better in vaginal and laparoscopic hysterectomies than in abdominal hysterectomies. Laparoscopic hysterectomies were associated with more than two and a half times more urinary tract injuries than abdominal hysterectomies.

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Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials

Neil Johnson, David Barlow, Anne Lethaby, Emma Tavender, Liz Curr, and Ray Garry
BMJ 2005 330: 1478. [Abstract] [Full Text] [PDF]

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