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Thursday, July 16, 2020 | History

1 edition of EVALUATE hysterectomy trial found in the catalog.

EVALUATE hysterectomy trial

EVALUATE hysterectomy trial

a multicentre randomised trial comparing abdominal, vaginal and laparoscopic methods of hysterectomy.

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Published by Gray Publishing on behalf of NCCHTA in Tunbridge Wells .
Written in English


Edition Notes

SeriesHealth technology assessment -- v. 8, no. 27
ContributionsGarry, Ray., National Co-ordinating Centre for HTA (Great Britain)
The Physical Object
Paginationx,154 p. :
Number of Pages154
ID Numbers
Open LibraryOL16250650M

"Just the prescription for a woman contemplating this complex issue. It is well worth its price tag and will be recommended to clients and friends facing hysterectomy."--Amy Ellwood, MSW,LCSW, University of Nevada, Las Vegas, Family Medicine Praise for the first edition: "[The authors] have not only produced a book which clarifies the many different types of hysterectomy, with illustrations Format: Paperback.    The EVALUATE hysterectomy study, a multicenter randomized trial showed TLH was associated with a significantly higher risk of major complications and took longer time than AH.  Several studies show a clear benefit of the vaginal route over the abdominal, and only when VH is not possible is TLH preferred, though it is associated with higher bladder and ureteric trauma.

The EVALUATE study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy Article Full-text available. R. Garry, J. Fountain, J. Brown, et TE hysterectomy trial: a multicentre randomised trial comparing abdominal, vaginal and laparoscopic methods of hysterectomy Health Technol Assess, 8 (), pp.

Evaluation of Laparoscopic Hysterectomy Simulator The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. About this study. The purpose of this study is to compare the incidence of cuff dehiscence in patients who have undergone total robotic laparoscopic hysterectomy vs. total vaginal hysterectomy, to identify risk factors for cuff dehiscence, and to study the impact of cuff dehiscence on a .


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EVALUATE hysterectomy trial Download PDF EPUB FB2

Primary outcome Rate of major complications. Results In the abdominal trial laparoscopic hysterectomy was associated with a higher rate of major complications than abdominal hysterectomy (% v %, P = ; difference %, 95% confidence interval % to %) and the number needed to treat to harm was Cited by:   Abdominal versus laparoscopic hysterectomy.

The eVALuate study confirmed the results of previous smaller studies and showed in the abdominal trial that laparoscopic hysterectomy caused less pain and was associated with shorter hospital stay than abdominal EVALUATE hysterectomy trial book. Severity of pain is difficult to quantify in the postoperative by: The H Word: The diagnostic studies to evaluate symptoms, alternatives in treatment, and coping with the aftereffects of hysterectomy.

[Nora W. Coffey, Rick Schweikert] on *FREE* shipping on qualifying offers. The H Word: The diagnostic studies to evaluate symptoms, alternatives in treatment, and coping with the aftereffects of hysterectomy/5(14). abstract = "Objectives: To test the null hypothesis of no significant difference between laparoscopic hysterectomy (LH), abdominal hysterectomy (AH) and vaginal hysterectomy (VH) with regard to each of the outcome measures of the trial, and also to assess the cost-effectiveness of the : Patients were allocated to either the vaginal or abdominal trial by the individual.

To evaluate short-term recovery of vaginal hysterectomy with those of laparoscopic assisted vaginal hysterectomy performed in a prospective, randomized multicentric study.

Study design. A third document, Hysterectomy: Clinical Recommendations and Indications for Use (MR/1-AHCPR), contains a summarized and simplified set of clinical recommendations based on these ratings.

EDITOR—Garry et al conducted two parallel randomised studies to evaluate the effects of EVALUATE hysterectomy trial book hysterectomy compared with abdominal and vaginal hysterectomy.1 The major bias of their.

The goal of this project was to formally evaluate the success of the Hysterectomy Pathways algorithm by examining medical and surgical perioperative complications, surgical site infections, day readmissions, costs, and length of stay from pre- to post-pathway implementation.

Trial design. Full details of the design of the eVALuate trial are reported in the accompanying paper.8 All the women we randomised had gynaecological symptoms that indicated the need for a hysterectomy. We excluded women with confirmed or suspected malignant disease of.

The Implementation of MinimAlly Invasive Hysterectomy Trial (IMAGINE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators.

Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for. Garry R, Fountain J, Mason S, Napp V, Brown J, Hawe J, et al.

The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ ; Cited by: 6. Hysterectomy, a common gynaecological procedure performed throughout the world.

• Total laparoscopic hysterectomy (TLH) has benefits such as early recovery, less postoperative pain, shorter hospital stay. • Uterine weight does not affect the complication rate, estimated blood loss and length of hospital stay in TLH operation.

PDF | On Jan 1,Garri Tchartchian and others published Evaluation of the Impact of Laparoscopic Supracervical Hysterectomy for the Treatment of Adenomyosis on Pain Intensity and Patient. THE HYSTERECTOMY BOOK Introduction A hysterectomy, the removal of a woman’s womb (medically referred to as the uterus), is a major yet routine operation today, carrying with it many advantages for the women concerned.

In many cases the operation means an end to prolonged or heavy bleeding or pain. THE ULTRA STUDY: For women seeking a minimally invasive alternative to hysterectomy, laparoscopic radiofrequency ablation (Acessa™) may be a good treatment option. ULTRA is a study of this new, FDA approved fibroid treatment.

Radiofrequency ablation (Acessa™) uses heat to destroy fibroid tissue during a laparoscopic surgery. Papers The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy.

The benefits of laparoscopic hysterectomy over the abdominal approach are real but are of practical value only if they can be achieved with an acceptable complication rate. Canis et al and Donnez et al show that this can be achieved, but to match the best results may require the development of many centres of laparoscopic excellence similar to : Ray Garry, Jeremy Hawe.

EDITOR—Given the pre-eminent role of gynaecologists in developing both operative laparoscopy and randomised trials, we were astonished that we might need a gastrointestinal surgeon in our team. Many of our team were, however, intuitively empathetic with Atkinson's concern that preoperative conversion should not be considered a major complication.

To exclude patients who did. Hysterectomy Before & After: A Comprehensive Guide to Preventing, Preparing For, and Maximizing Health [Cutler, Winnifred B.] on *FREE* shipping on qualifying offers. Hysterectomy Before & After: A Comprehensive Guide to Preventing, Preparing For, and Maximizing HealthReviews: The EVALUATE hysterectomy trial with regard to cost-effectiveness, comparing abdominal, vaginal and laparoscopic methods of hysterectomy concluded that laparoscopic hysterectomy was not cost effective relative to vaginal hysterectomy.

Objective To summarise how costs and health benefits will change with the adoption of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer.

Design Cost-effectiveness modelling using the information from a randomised controlled trial. Participants Two hypothetical modelled cohorts of individuals undergoing total.scopic hysterectomy (the vaginal trial).

The eVALuate team concluded that the laparoscopic ap- proach caused less pain and was associated with a shorter hospital stay than abdominal hysterectomy.Hysterectomy is a controversial subject, and any woman considering this procedure will have a very difficult time finding a non-biased source of information on the web.

Books written in the 70's or 80's are still very prevalent and filled with outdated information, or treat hysterectomy as a feminist s: