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8 Cards in this Set

  • Front
  • Back
List advantages to vaginal hysterectomy (over abdominal hysterectomy)
reduced overall morbidity
fewer postoperative complications
faster recovery time
According to trials reviewed by the SOGC guideline, is sexual function decreased in women having the cervix removed at time of hysterectomy compared to those with it left intact?
No

Sexual function/behaviour is equivalent, and improved no matter what procedure is performed.
True or False:
Urinary tract dysfunction is improved in those undergoing subtotal hysterectomy versus total (abdominal)
False

(according to studies reviewed by the SOGC for the guideline, there is no difference and no reasont to recommend one approach over the other)
Can subtotal abdominal hysterectomy be recommended over TAH for lower perioperative morbidity?
No - they are similar and according to SOGC should not be recommended based on this
What appears to be slightly reduced in SCH versus TAH?
operating time (~15min)
hospital stay
How many women will still experience cyclical vaginal bleeding if the cervix is left intact with SCH versus TAH?
<=25%
Is cervical cytologic screening recommended following SCH?
Yes

Older studies suggest 0.3-3% of women with SCH will go on to develop cervical cancer
Has removal of the cervix at hysterectomy been shown to benefit those with previous or known abnormal cytology?
Yes