BJOG : an international journal of obstetrics and gynaecology · 2015
The risk of ureteric injury associated with hysterectomy: a 10-year retrospective cohort study.
СтатьяVideo-Audio MediaНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kiran A, Hilton P, Cromwell D A
Аннотация
OBJECTIVE: To evaluate the rates of ureteric injury among women undergoing hysterectomy.
DESIGN: Retrospective cohort.
SETTING: English National Health Service hospitals.
POPULATION: Women undergoing hysterectomy in 2001-2010.
METHODS: Unadjusted rates of ureteric injury, within 1 year of hysterectomy, calculated by indication and type of procedure. Multivariable logistic regression used to assess the risk of ureteric injury with year of surgery.
MAIN OUTCOME MEASURES: Ureteric injury within a year of the hysterectomy.
RESULTS: In 2001-2010, 377 073 women underwent hysterectomy, of whom 1792 (0.5%) experienced a ureteric injury. In both benign and malignant groups the rate of injury was higher in 2006-2010 than 2001-2005. After 2006, ureteric injuries were most common for abdominal radical hysterectomy for uterine cancer (10.7%; 95% CI 7.3-15.1%). The proportion of women having a ureteric injury was similar for ovarian and cervical cancer (1.9-4.0% depending on type of procedure). For benign conditions, the rate of injury tended to be lower, typically <1%. Women with endometriosis had the highest risk among this group (1.7% following total abdominal hysterectomy; 95% CI 1.4-2.0%).
CONCLUSION: The risk of ureteric injury within 1 year of hysterectomy varied by type of hysterectomy for benign and malignant conditions. The rates of injury have increased between 2001 and 2010.
TWEETABLE ABSTRACT: Ten-year study shows ureteric injury rates have increased.
DESIGN: Retrospective cohort.
SETTING: English National Health Service hospitals.
POPULATION: Women undergoing hysterectomy in 2001-2010.
METHODS: Unadjusted rates of ureteric injury, within 1 year of hysterectomy, calculated by indication and type of procedure. Multivariable logistic regression used to assess the risk of ureteric injury with year of surgery.
MAIN OUTCOME MEASURES: Ureteric injury within a year of the hysterectomy.
RESULTS: In 2001-2010, 377 073 women underwent hysterectomy, of whom 1792 (0.5%) experienced a ureteric injury. In both benign and malignant groups the rate of injury was higher in 2006-2010 than 2001-2005. After 2006, ureteric injuries were most common for abdominal radical hysterectomy for uterine cancer (10.7%; 95% CI 7.3-15.1%). The proportion of women having a ureteric injury was similar for ovarian and cervical cancer (1.9-4.0% depending on type of procedure). For benign conditions, the rate of injury tended to be lower, typically <1%. Women with endometriosis had the highest risk among this group (1.7% following total abdominal hysterectomy; 95% CI 1.4-2.0%).
CONCLUSION: The risk of ureteric injury within 1 year of hysterectomy varied by type of hysterectomy for benign and malignant conditions. The rates of injury have increased between 2001 and 2010.
TWEETABLE ABSTRACT: Ten-year study shows ureteric injury rates have increased.