Risk of fistula formation and long-term health effects after a benign hysterectomy complicated by organ injury: A population-based register study

Acta Obstetricia Et Gynecologica Scandinavica
Susanne HesselmanMaria Jonsson

Abstract

There is a paucity of data on the impact of organ injury on long-term outcomes after a hysterectomy for benign indications. The aim of this study was to investigate fistula formation and patient-reported long-term health outcomes after organ injury at the time of a hysterectomy. This was a population-based study of 22 538 women undergoing a hysterectomy between 2000 and 2014 in Sweden. Their medical history, characteristics of their surgery, and patient-reported outcomes were retrieved from Swedish national health and quality registers. Predictors for fistula formation were investigated with logistic regression and are presented as odds ratios with a 95% CI. Fistulas were reported in 7% of women with organ injuries, compared with 0.4% of those without organ injuries (adjusted odds ratio 15.29 [9.81-23.85]). Laparotomy and postoperative infection were associated with postoperative fistulas. Most of the women reported having better health 1 year after the hysterectomy, but 7% of those with organ injuries and 24% of those with fistulas reported deteriorated health, compared with 2% of women without injuries. Organ injury at the time of hysterectomy is associated with the development of fistulas involving the female genital tract a...Continue Reading

References

Jul 2, 1998·Obstetrics and Gynecology·P Härkki-SirénA Tiitinen
May 25, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Mona B LadforsJan-Henrik A Olsson
Nov 18, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Malik BoukerrouMichel Cosson
Oct 2, 2004·Obstetrics and Gynecology·Katherine E HartmannKristen H Kjerulff
Dec 6, 2005·American Journal of Obstetrics and Gynecology·Christopher M RooneyMickey M Karram
Apr 8, 2006·Current Opinion in Obstetrics & Gynecology·Suran Ramphal, Jagidesa Moodley
Nov 6, 2007·American Journal of Obstetrics and Gynecology·Maura K WhitemanPolly A Marchbanks
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Aug 25, 2009·Obstetrics and Gynecology·Catharina ForsgrenDaniel Altman
May 18, 2010·Journal of Minimally Invasive Gynecology·Jun KumakiriSatoru Takeda
Aug 27, 2010·Current Opinion in Obstetrics & Gynecology·Catharina Forsgren, Daniel Altman
Jun 11, 2011·BMC Public Health·Jonas F LudvigssonPetra Otterblad Olausson
Dec 14, 2011·American Journal of Obstetrics and Gynecology·Deirdre J Lyell
Oct 8, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rune LykkeHelga Gimbel
Apr 14, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Ewa JokinenPäivi Härkki
Dec 26, 2015·American Journal of Obstetrics and Gynecology·Malinda S LeeCarey M York-Best
Jul 25, 2017·American Journal of Obstetrics and Gynecology·Susanne HesselmanMaria Jonsson

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Obstetrics and Gynecology
Susanne HesselmanMaria Jonsson
International Journal of Cancer. Journal International Du Cancer
Myeongjee LeeKamila Czene
International Journal of Cancer. Journal International Du Cancer
Daniel AltmanHenrik Falconer
© 2022 Meta ULC. All rights reserved