No. 238-Supracervical Hysterectomy.

No. 238-Supracervical Hysterectomy. J Obstet Gynaecol Can. 2018 Jul;40(7):e597-e604 Authors: Kives S, Lefebvre G Abstract OBJECTIVE: This guideline reviews the evidence relating to the potential benefits of the vaginal hysterectomy (VH) and supracervical hysterectomy (SCH) versus total abdominal hysterectomy (TAH) with respect to postoperative sexual function, urinary function, and peri- and postoperative complications. Laparoscopic options are not included in this guideline. OPTIONS: Women considering hysterectomy for benign disease can be given the option of retaining the cervix or proceeding with a total hysterectomy. OUTCOMES: The outcomes measured are postoperative sexual function and urinary function, and peri- and postoperative complications. EVIDENCE: The Cochrane Library, Medline, and Embase were searched for articles published in English from January 1950 to March 2008 specifically comparing VH and SCH with TAH in the prevention of sexual dysfunction, urinary dysfunction, and peri- and postoperative complications. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. Additional publications were identified from the bibliographies of these articles. Randomized controlled trials were considered evidence of the highest quality, followed by cohort studies. Grey (unpublished) literature was identified through searching the websites ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research