Sökning: "Abdominal hysterectomy"
Visar resultat 6 - 10 av 18 avhandlingar innehållade orden Abdominal hysterectomy.
6. Hysterectomy on benign indications and pelvic floor dysfunction : clinical and epidemiological aspects
Sammanfattning : The objectives of this thesis were to investigate the annual rates for hysterectomy on benign indications, to evaluate the effects of hysterectomy on bowel function, to identify risk factors for vaginal vault prolapse, to examine the association between hysterectomy and pelvic organ fistula disease, and to determine risks of subsequent pelvic floor surgery after vaginal hysterectomy. We performed a nationwide register based cohort study to investigate the annual rates, types and indications for hysterectomy. LÄS MER
7. The impact of postoperative telephone follow-up contacts on recovery after benign hysterectomy : with emphasis on health-related quality of life, postoperative symptoms, and health economics
Sammanfattning : BackgroundThe course of a postoperative recovery is important for both patient and healthcare services. Efforts to expedite and improve recovery in a safe and cost-effective manner are therefore highly desirable from the perspective of both parties. LÄS MER
8. On Quality Improvement in Gynaecological Cancer Surgery
Sammanfattning : Objectives: The overall purpose of this thesis was to find medical and surgical treatment methods of improving the perioperative care of gynaecological cancer patients. The specific objectives were to determine whether a single dose tranexamic acid given immediately before surgery for presumed advanced ovarian cancer reduces perioperative blood loss and the need for blood transfusions, and to determine whether postoperative recovery, tissue damage, and inflammatory response markers differ between women operated with robotic and abdominal hysterectomy for low-risk endometrial cancer in an enhanced recovery after surgery (ERAS) programme, and to evaluate costs for hospital stay and postoperative recovery in relation to health impact. LÄS MER
9. Retograde migration of starch particles in the female genital tract
Sammanfattning : Tubal and pelvic adhesions are a major cause of female infertility in humans. The majority of postoperative intra-abdominal adhesions result from the presence of ischaemic tissue within the abdominal cavity. These precipitate an inflammatory vascular response from neighbouring healthy tissue. LÄS MER
10. Surgical quality control of minimally invasive procedures, fast-track surgery and implant technology in gynaecological surgery in Sweden
Sammanfattning : Internationally as well as in Sweden, efforts for improvement in gynaecological surgery in recent decades have mainly focused on three new treatment concepts:(1) Use of minimally invasive procedures: since there is an interdependency between the extent of surgical trauma and the risk for adverse outcome, increased use of supposedly atraumatic endoscopic procedures has revolutionized several aspects of surgical care(2) A multimodal approach to eliminate harmful procedures in the peri-operative process based on evidence-based principles(3) Introduction of implants to support damaged tissue with synthetic mesh in incontinence and pelvic organ prolapse patients.Research question 1: Is introduction of a minimally invasive operation enough per se or is the measured improvement mediated by elimination of harmful procedures in the perioperative process?Findings: Our study (Paper I) indicates that by applying a multimodal intervention programme for the pre- and postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered. LÄS MER
