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A review conducted by the New Zealand University found that vaginal hysterectomies resulted in a lower incidence of infections and high temperatures and a faster recovery compared to abdominal hysterectomies. Thus the researchers believe that vaginal hysterectomies should be performed over abdominal hysterectomies wherever possible. Abdominal hysterectomies are a better choice in women who have an enlarged uterus, malignant tumors or endometriosis. Laparoscopic hysterectomies were also assessed and determined to have similar benefits to vaginal hysterectomies if they were performed on the right patients. However, the downside of laparoscopic hysterectomies was that they took longer to perform and increased the risk of damage to the bladder or ureter. Studies also assessed the economics of all the procedures and found that there was no cost diference between laparoscopic and abdominal hysterectomies but vaginal hysterectomies were less costly than laoparoscopic hysterectomies. The CDC reported that hysterectomies were the second most common surgery after cesarean section in women of childbearing age in 2002. Abdominal hysterectomies made up over 60% of hysterectomies between 1994-99. Researchers are encouraging more study in the long-term effects of each surgical option in order to determine the risks of urinary and sexual dysfunction, fistulas, holes in the vagina, holes in the bladder, holes in the rectum and incontinence.
Source: summary of medical news story as reported by Newswise
About: Studies compare hysterectomy techniques
Date: 24 January 2005
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