caa a22 4500 445363711 CHVBK 20180317142923.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10397-011-0657-9 doi (NATIONALLICENCE)springer-10.1007/s10397-011-0657-9 Sun beams on hysterectomies [Elektronische Daten] [Liselotte Mettler, Wael Sammur, Thoralf Schollmeyer] Are hysterectomies still necessary in 2010 and why and how should they be performed? As every now and then a critical evaluation of routine surgical procedure is necessary, there it is: This review follows the "Perspectives on laparoscopic hysterectomy” by Michelle Nisolle (Gynecol Surg 7:105-107, 2010). Hysterectomies performed in the field of obstetrics and gynaecology until the nineteenth century had always a lethal end. In the twentieth century, they were perhaps too frequently performed whereas the twenty-first century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies have made the procedure more patient-friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies, and the vaginal approach is still the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery with multiple and single port entries. Laparoscopic and robotic-assisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of menometrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails. Springer-Verlag, 2011 Laparoscopic versus conventional hysterectomies nationallicence Mettler Liselotte Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany aut Sammur Wael GMC, Dubai Healthcare City, Dubai, United Arab Emirates aut Schollmeyer Thoralf Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany aut Gynecological Surgery Springer-Verlag 8/3(2011-09-01), 255-267 1613-2076 8:3<255 2011 8 10397 https://doi.org/10.1007/s10397-011-0657-9 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-011-0657-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mettler Liselotte Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany aut NATIONALLICENCE 700 1- Sammur Wael GMC, Dubai Healthcare City, Dubai, United Arab Emirates aut NATIONALLICENCE 700 1- Schollmeyer Thoralf Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/3(2011-09-01), 255-267 1613-2076 8:3<255 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer