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Recent News and Articles on the Keywords: hysterectomy alternative + effective alternative + hysterectomy  Related to the article below (Last Update: 5/13/2008)

The Mixed Blessing Of Genetic Testing
CBS News, NY - May 6, 2008
Yesterday, knowing that Lynch Syndrome puts her at risk for other kinds of cancers, like endometrial and ovarian, she had a complete hysterectomy. ...
Robots reinvent bypass surgery
Indianapolis Star, United States - May 1, 2008
"It's terrific to say, 'Gee whiz, why don't I have a robotic operation when the alternative is taking a chainsaw to my chest?' But there are too many places ...
Source: Google News

… study of use of levonorgestrel releasing intrauterine system as alternative to hysterectomy -
P Lahteenmaki, M Haukkamaa, J Puolakka, U Riikonen … - BMJ, 1998 - pubmedcentral.nih.gov
... Alternative strategies to achieve amenorrhoea in both groups would entail expensive
but effective treatments for ... control group of women awaiting hysterectomy. ...

Is Selective Embolization of Uterine Arteries a Safe Alternative to Hysterectomy in Patients with … -
JF Deux, M Bazot, AF Le Blanche, M Tassart, A … - American Journal of Roentgenology, 2001 - Am Roentgen Ray Soc
... CONCLUSION. Embolization of acute postpartum hemorrhage is a safe and effective
alternative to hysterectomy. This article has been cited by other articles: ...

… the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported -
C B-Lynch, A Coker, AH Lawal, J Abu, MJ Cowen - BJOG: An International Journal of Obstetrics & Gynaecology, 1997 - Blackwell Synergy
... method which is simple and effective, tried and ... threatening postpartum haemorrhage,
as an alternative to more complicated surgery including hysterectomy. ...

Endometrial Ablation: An Alternative to Hysterectomy. -
RW KE - Clinical Obstetrics and Gynecology, 1997 - clinicalobgyn.com
... however, remains uncertain. Endometrial ablation has been demonstrated to be
a cost-effective alternative to hysterectomy. But there is ...

… -effectiveness of levonorgestrel-releasing intrauterine system versus hysterectomy for treatment of … -
R Hurskainen, J Teperi, P Rissanen, AM Aalto, S … - The Lancet, 2001 - Elsevier
... During the first year the levonorgestrel-releasing IUS was a cost-effective
alternative to hysterectomy in treatment of this disorder. ...

Endometrial Resection for the Treatment of Menorrhagia -
HO'Connor, A Magos - New England Journal of Medicine, 1996 - content.nejm.org
... years. Conclusions Endometrial resection is an effective alternative to
hysterectomy in women with menorrhagia. Source Information. ...

Laparoscopic supracervical hysterectomy using a single-umbilical puncture (mini-laparoscopy). -
MA Pelosi, MA Pelosi 3rd - J Reprod Med, 1992 - ncbi.nlm.nih.gov
... Laparoscopic supracervical hysterectomy with removal of the uterus and adnexa through
the umbilical puncture site is an effective alternative for patients with ...

… cryomyolysis: A possible alternative to myomectomy and/or hysterectomy for symptomatic leiomyomas -
E Zupi, A Piredda, D Marconi, D Townsend, C … - American Journal of Obstetrics and Gynecology, 2004 - Elsevier
... using either an open abdominal or laparoscopic approach, is one such alternative
to hysterectomy. 5. and 6. Although shown to be effective, the extended ...

Hysteroscopic Endometrial Ablation Is an Effective Alternative to Hysterectomy in Women with … -
MA Eskandar, GA Vilos, FA Aletebi, IS Tummon - American Association of Gynecologic Laparoscopists, 2000 - Elsevier
... Original Articles. Hysteroscopic Endometrial Ablation Is an Effective Alternative
to Hysterectomy in Women with Menorrhagia and Large Uteri. ...

Long-term follow up of uterine artery embolisation-an effective alternative in the treatment of … -
WJ Walker, P Barton-Smith - BJOG: An International Journal of Obstetrics & Gynaecology, 2006 - Blackwell Synergy
... We have also shown that fibroid embolisation was effective for subserous, interstitial
and ... it 5?7 years ago is a viable alternative to hysterectomy. ...

Source: Google Scholar

Hysterectomy alternative effective for bleeding

Last Updated: 2007-12-14 11:01:03 -0400 (Reuters Health)

NEW YORK (Reuters Health) - For women who need surgery for abnormal vaginal bleeding, both hysterectomy and a less-extensive alternative seem to be similarly effective, new research suggests.

The study, published in the journal Obstetrics & Gynecology, included 237 women who had surgery for dysfunctional uterine bleeding -- a disorder marked by vaginal bleeding between menstrual periods, abnormal periods, pelvic pain and other symptoms.

The women either had a hysterectomy, in which a surgeon removes the uterus, or a less-extensive procedure called endometrial ablation, which removes only the lining of the uterus.

Ablation does not require an abdominal incision, as a hysterectomy often does; instead, a thin scope is passed into the uterus, and heat is used to destroy the uterine lining.

In this study, researchers found that while hysterectomy tended to be more successful in eliminating the women's abnormal bleeding, endometrial ablation was nearly as effective in easing their overall symptoms in the long term.

Endometrial ablation successfully eased the problems that prompted surgery in 85 percent of patients. That figure was 94 percent in the hysterectomy group, according to the researchers, led by Dr. Kay Dickersin of Johns Hopkins University in Baltimore.

A "substantial number" of women who had ablation ended up needing a repeat procedure, the researchers report. Nearly one-third had one within four years.

On the other hand, women in the hysterectomy group had more treatment side effects. They were six times as likely, for instance, to have a post-surgery infection. In all, about 40 percent of hysterectomy patients had some adverse effect in the six weeks following treatment -- which, besides infections, included nerve damage, blood clots and fluid buildup. That compared with 11 percent of ablation patients.

"Both endometrial ablation and hysterectomy are effective in solving the problem that led women to seek surgery and in relieving pain, fatigue, and bleeding," write Dickersin and her colleagues -- though, they add, hysterectomy tends to control bleeding better.

Based on these findings, they conclude, it seems "reasonable" for women to choose the treatment option that best fits their "individual preferences and situations."

SOURCE: Obstetrics & Gynecology, December 2007.

Copyright © 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world.

 
 
 
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