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Heavy menstrual bleeding: Keyhole hysterectomy technique ‘more effective’

Female patient chatting to gynaecologistImage copyright Getty Images

A keyhole-surgery technique for treating heavy menstrual bleeding is simpler and simply as secure as a non-invasive different, a research of greater than 600 UK ladies suggests.

Those who had a laparoscopic supra-cervical hysterectomy, eradicating a part of the uterus, have been extra happy than a gaggle that had endometrial ablation.

And they have been much less more likely to have pelvic ache and ache throughout intercourse.

Heavy bleeding impacts 1 / 4 of ladies within the UK.

Hospital stays

Prof Kevin Cooper, guide gynaecologist and research writer from the University of Aberdeen, writing within the Lancet, stated the research confirmed laparoscopic supracervical hysterectomy provided “a more effective option than endometrial ablation, without any increased risks”.

Fifteen months after surgical procedure, there was the same degree of issues in each teams.

And the ladies who had the modified hysterectomy technique did are likely to have longer hospital stays and a slower return to work.

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

Heavy intervals

He stated the process provided ladies “another effective surgical choice for this common medical condition”.

There are some ways of finishing up a hysterectomy however the standard one removes the womb and cervix.

Laparoscopic supracervical hysterectomy is a much less invasive and fewer advanced different to this, the place the cervix is left intact.

In endometrial ablation, the liner of the uterus (endometrium), which is answerable for heavy intervals, is destroyed, and the uterus is saved.

No incisions are wanted for this process and restoration tends to be fast – however one in 5 of the sufferers goes on to have a hysterectomy, the research suggests.

Cervical screening

Commenting on the analysis, Sukhbir Singh and Olga Bougie, from the division of obstetrics and gynaecology on the University of Ottawa, stated there have been nonetheless questions left to reply concerning the security 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 stated.

They additionally famous the European Society of Gynaecological Oncology states whole hysterectomy is most popular over laparoscopic supracervical hysterectomy.

And consequently, numbers of laparoscopic supracervical hysterectomies have gone down.

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