Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Vaginal vault suspension during hysterectomy for benign indications: a prospective register study of agreement on terminology and surgical procedure

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Age at hysterectomy as a predictor for subsequent pelvic organ prolapse repair

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The indication for hysterectomy as a risk factor for subsequent pelvic organ prolapse repair

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Pelvic organ prolapse surgery after native tissue vault suspension at hysterectomy-A prospective cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. No evidence of association between native tissue vault suspension and risk of pelvic pain or sexual dysfunction

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Type I Versus Type II Endometrial Cancer: Differential Impact of Comorbidity

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

INTRODUCTION AND HYPOTHESIS: Several suspension methods are used to try to prevent pelvic organ prolapse (POP) after hysterectomy. We aimed to evaluate agreement on terminology and surgical procedure of these methods.

METHODS: We randomly chose 532 medical records of women with a history of hysterectomy from the Danish Hysterectomy and Hysteroscopy Database (DHHD). Additionally, we video-recorded 36 randomly chosen hysterectomies. The hysterectomies were registered in the DHHD. The material was categorized according to predefined suspension methods. Agreement compared suspension codes in DHHD (gynecologists' registrations) with medical records (gynecologists' descriptions) and with videos (reviewers' categorizations) respectively. Whether the vaginal vault was suspended (pooled suspension) or not (no suspension method + not described) was analyzed, in addition to each suspension method.

RESULTS: Regarding medical records, agreement on terminology was good among patients undergoing pooled suspension in cases of hysterectomy via the abdominal and vaginal route (agreement 78.7, 92.3%). Regarding videos, agreement on surgical procedure was good among pooled suspension patients in cases of hysterectomy via the abdominal, laparoscopic, and vaginal routes (agreement 88.9, 97.8, 100%). Agreement on individual suspension methods differed regarding both medical records (agreement 0-90.1%) and videos (agreement 0-100%).

CONCLUSIONS: Agreement on terminology and surgical procedure regarding suspension method was good in respect of pooled suspension. However, disagreement was observed when individual suspension methods and operative details were scrutinized. Better consensus of terminology and surgical procedure is warranted to enable further research aimed at preventing POP among women undergoing hysterectomy.

OriginalsprogEngelsk
TidsskriftInternational Urogynecology Journal
Vol/bind28
Udgave nummer7
Sider (fra-til)1067-1075
ISSN0937-3462
DOI
StatusUdgivet - 2017

ID: 49858225