Perioperative managment for gynecological surgery in accelerated rehabilitation programme

Olha Proshchenko, Dmytro Govsieiev, Serhiy Vasyliuk, Artem Mykytyuk, Oksana Ostrovska, Mariana Rymarchuk, Pavlo Prudnikov

The Enhanced Recovery After Surgery (ERAS), or Fast Track Surgery, aims to minimise the physiological stress of surgery and optimise patient rehabilitation. However, data on surgical interventions in obstetrics and gynaecology are limited. The aim of the study was to analyse the use of elements of the ERAS programme …

Accelerated rehabilitation after hysterectomy in reproductive age patients

Olha Proshchenko, Iryna Ventskivska, Serhii Vasyliuk, Artem Mykytiuk

Background and aims. The principles of enhanced recovery in operative gynecology, comorbidity, and a multimodal approach in perioperative support require comprehensive study and optimization, and the ambiguity of literature reports determines the relevance …

Total or subtotal abdominal hysterectomy in benign gynecological conditions: How, why, when?

Daniilidis Α, Spathopoulou S., Dinas Κ, Τantanasis T, Κartsea F, Giannoulis C, Balaouras D, Foteinakis I,Μakris V, Loufopoulos Α

Total and subtotal abdominal hysterectomy for benign indications have been compared in randomized clinical trials and observational studies. The aim of this review was to compare total and subtotal hysterectomy concerning incontinence, cervical stump problems, operation time, postoperative complications, quality of life, and prolapse. Incontinence, prolapse and cervical stumps problems …

Total laparoscopic radical hysterectomy with para-aortic and pelvic lymphadenectomy for stage IIA squamous cell carcinoma of the cervix: A case report

Chilaris GH, Tsoumpis T, Alarkof E, Karkotis K, Daveta A

The role of laparoscopy in the management of abdominopelvic malignancies is constantly evolving. Recebt data from clinical trials demonstrate that laparoscopic surgical staging has equal efficacy (lymph node counts, disease free survival) compared to traditional open cases and can be safely performed in selected patients. We report a case of laparoscopic radical hysterectomy …

Oophorectomy during hysterectomy: The antilogue

Papanikolaou A

Αt least 50% of women above 40 years old undergo oophorectomy at the course of hysterectomy for benign indications, because ovaries are easy to excise. Opinions that women at 40 years are close to menopause and that ovaries fail after hysterectomy do not appear to be correct. Post-menopausal ovaries are the main source of testosterone in the body, the function of which is poorly understood …