Friday 28 February 2020 ,
Friday 28 February 2020 ,
Latest News
  • New Zealand confirms first coronavirus case
  • Malaysian king hits back at Mahathir amid crisis
  • Delhi violence: Death toll hits 42
  • COVID-19 virus emerging in every continent except Antarctica
  • Virus detected in sub-Saharan Africa, global stocks tank
  • Iranian vice president tested positive for COVID-19
  • Markets fall as virus spreads around the world
  • Covid-19 outbreak: Saudi suspends issuing e-visas for several countries
16 September, 2019 00:00 00 AM

Heavy menstrual bleeding: Keyhole hysterectomy technique 'more effective'

BBC News Health
Heavy menstrual bleeding: Keyhole hysterectomy technique 'more effective'

A keyhole-surgery technique for treating heavy menstrual bleeding is more effective and just as safe as a non-invasive alternative, a study of more than 600 UK women suggests.

Those who had a laparoscopic supra-cervical hysterectomy, removing part of the uterus, were more satisfied than a group that had endometrial ablation.

And they were less likely to have pelvic pain and pain during sex.

Hospital stays

Prof Kevin Cooper, consultant gynaecologist and study author from the University of Aberdeen, writing in the Lancet, said the study showed laparoscopic supracervical hysterectomy offered "a more effective option than endometrial ablation, without any increased risks".

Fifteen months after surgery, there was a similar level of complications in both groups.

The women who had the modified hysterectomy technique did tend to have longer hospital stays and a slower return to work.

But, Prof Cooper said: "Most women having this procedure get home within 24 hours and there are no restrictive rules for recovery, unlike traditional hysterectomy."

Heavy periods

He said the procedure offered women "another effective surgical choice for this common medical condition".

There are many ways of carrying out a hysterectomy but the conventional one removes the womb and cervix.

Laparoscopic supracervical hysterectomy is a less invasive and less complex alternative to this, where the cervix is left intact.

In endometrial ablation, the lining of the uterus (endometrium), which is responsible for heavy periods, is destroyed, and the uterus is kept.

No incisions are needed for this procedure and recovery tends to be quick - but one in five of the patients goes on to have a hysterectomy, the study suggests.

Cervical screening

Dr Caroline Overton, consultant gynaecologist and spokesperson for the Royal College of Obstetricians and Gynaecologists, said more research was needed to work out what happened in the longer term.

"It is important to note that both supracervical hysterectomy and endometrial ablation are generally safe procedures, but women should always consider non-surgical treatment options first."

For most women with heavy periods, the first recommended treatment is a medication called tranexamic acid, taken by mouth on the heavy days of the period.

Taking the hormone contraceptive pill or using an intrauterine device (IUD) can also be highly effective, Dr Overton said.

She said it was important for women and clinicians to consider the main symptoms being experienced when exploring surgical options.

Commenting on the research, Sukhbir Singh and Olga Bougie, from the department of obstetrics and gynaecology at the University of Ottawa, said there were still questions left to answer about the safety of preserving the cervix.

"In particular, cervical conservation raises issues of specimen removal, need for cervical screening, and the potential for new or ongoing symptoms secondary to the retained cervical stump," they said.

They also noted the European Society of Gynaecological Oncology states total hysterectomy is preferred over laparoscopic supracervical hysterectomy.

And as a result, numbers of laparoscopic supracervical hysterectomies have gone down.

 

Comments

Most Viewed
Digital Edition
More story
Editor Speaks

Editor Speaks

15-20 cm long partly exocrine (digestive juice) and partly endocrine (insulin) Pancreas means all flesh (Pan=all, Kreas=flesh) which lies behind peritoneum…
What can doctors do for your back pain? Not as much as you can

What can doctors do for your back pain? Not as much as you can

“I’m sorry you’re in pain.” “You have no idea,” she growls. She is a middle-aged, obese woman with chronic back pain…
Everything you need to know about pancreatitis

Everything you need to know about pancreatitis

Pancreatitis is pathologic inflammation of the pancreas. Your pancreas sits behind your stomach, near your small intestine. It releases enzymes that help…
Acute pancreatitis risks and treatment

Acute pancreatitis risks and treatment

Risk stratification of acute pancreatitis In most cases, acute pancreatitis resolves with therapy, but approximately 15% of patients develop severe disease.3…
Alcohol, loneliness & other surprising things that spike your blood pressure

Alcohol, loneliness & other surprising things that spike your blood pressure

STEPHANIE ECKELKAMP They don’t call high blood pressure a “silent killer” for nothing. Turns out, about half of Americans have this…
Knowing the warning signs and symptoms of congenital atrial septal defect (ASD)

Knowing the warning signs and symptoms of congenital atrial septal defect (ASD)

The statistical data reveals that the average incidence rate of congenital heart defects reported in different studies is 1 up to 8 per 1,000 live births.…
Coronavirus and its symptoms

Coronavirus and its symptoms

JAMES GALLAGHER A virus causing severe lung disease that started in China has spread to other countries, including the UK. The coronavirus had infected…
Common causes of waking to urinate at night

Common causes of waking to urinate at night

BRANDON PETERS, MD If you wake during the night to pee, you may be interested in learning about the common causes of this occurrence. What is nocturia?…
Wheeze, asthma risk up with cleaning product use exposure in infancy

Wheeze, asthma risk up with cleaning product use exposure in infancy

Infants in homes with frequent use of household cleaning products have an increased risk for childhood wheeze and asthma, according to a study published…
Healthy 'Mediterranean Diet' is good for your microbiome

Healthy 'Mediterranean Diet' is good for your microbiome

The so-called Mediterranean diet is already considered one of the healthiest for your heart, and now scientists say it may give your gut bacteria a boost,…
U.S. scientists take key step towards Coronavirus vaccine

U.S. scientists take key step towards Coronavirus vaccine

There's been a crucial move forward in efforts to develop vaccines and treatments against the new COVID-19 coronavirus, U.S. researchers say. As of…
FDA approves Twirla (levonorgestrel and ethinyl estradiol) contraceptive patch

FDA approves Twirla (levonorgestrel and ethinyl estradiol) contraceptive patch

Agile Therapeutics, Inc.,  a forward-thinking women’s healthcare company, recently announced that the U.S. Food and Drug Administration (FDA)…

Copyright © All right reserved.

Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Disclaimer & Privacy Policy
....................................................
About Us
....................................................
Contact Us
....................................................
Advertisement
....................................................
Subscription

Powered by : Frog Hosting