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Review
. 2023 May;307(5):1377-1384.
doi: 10.1007/s00404-022-06607-z. Epub 2022 May 19.

Historical perspective of vaginal hysterectomy: the resilience of art and evidence-based medicine in the age of technology

Gisele Vissoci Marquini  1 , Leticia Maria de Oliveira  2 , Sérgio Brasileiro Martins  2 , Claudia Cristina Takano  2 , Zsuzsanna Ilona Katalin de Jarmy Di-Bella  2 , Marair Gracio Ferreira Sartori  2
Affiliations
Review

Historical perspective of vaginal hysterectomy: the resilience of art and evidence-based medicine in the age of technology

Gisele Vissoci Marquini et al. Arch Gynecol Obstet. 2023 May.

Abstract

Objective: The aim of this study was to describe, from a historical perspective, the relevance, resilience and outcomes of vaginal hysterectomy (VH) in gynecology in the age of technological scenario.

Methods: The authors searched records from January 2011 to January 2021 on the following databases: Medline, EMBASE, and CENTRAL (The Cochrane Library) for combinations of the terms "vaginal hysterectomy," "outcomes" AND "history"; and before that period, if the search had historical relevance.

Inclusion criteria: randomized clinical trials; hysterectomy performed for benign gynecological conditions; and VH outcomes compared with Abdominal Hysterectomy (AH), Laparoscopic Hysterectomy (LH) or Robotic Hysterectomy (RH).

Results: The VH combines sequences of reproducible techniques which have been developed over the years to safely and effectively overcome the limitations of difficult cases of vaginal extirpation from the uterus.

Conclusion: The authors support endoscopic surgical approaches in complex surgery for benign indications, urogynecology, and gynecologic oncology when appropriate. However, what makes the gynecological surgeon different from the general surgeon is the vaginal access. It is essential to continue to train residents in vaginal surgical skills and provide safe and cost-effective patient care. The art of technology is the resilience of keeping only the patient at the center of innovation.

Keywords: Hysterectomy; Laparoscopic hysterectomy; Robotic hysterectomy; Vaginal hysterectomy.

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References

    1. American College of Obstetricians and Gynecologists (2017) Committee opinion no. 701: choosing the route of hysterectomy for benign disease. Obstet Gynecol 129:e155-9 - DOI
    1. Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS et al (2013) Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol 122:233–241 - DOI - PMC
    1. Sutton C (1997) Hysterectomy: a historical perspective. Baillieres Clin Obstet Gynaecol 11(1):1–22. https://doi.org/10.1016/s0950-3552(97)80047-8 (PMID: 9155933) - DOI
    1. Sparić R, Hudelist G, Berisava M, Gudović A, Buzadzić S (2011) Hysterectomy throughout history. Acta Chir Iugosl 58(4):9–14 (PMID: 22519184) - DOI
    1. Figueirêdo O. (2011) Vaginal Hysterectomy: New perspectives. 3rd Ed. Original in Portuguese: Histerectomia Vaginal: Novas Perspectivas. Londrina, PR, Brazil: Netto. (ISBN-85–902924–2–8)

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