[Hysterectomy for benign lesions in Brittany: analysis of medical practices].
OBJECTIVE
By who, why and how are done hysterectomies for benign lesions.


METHODS
and methods. The 413 medical files of all the patients who underwent an hysterectomy for benign lesion during the last trimester of 1997 were recorded by the Medical Information Departments of the 53 health establishments of the Brittany Region. Surgical procedures, medical indications, pathological findings were analyzed according to the guidelines encountered in the medical literature.


RESULTS
Hysterectomies were done by many surgeons (112). Inaugural signs noted in the medical files were classical, but various and often associated without a main indication of hysterectomy. Histological diagnose were identical with those found usually in the literature. The abdominal route was mainly used, particularly when the operation was done by a generalist surgeon and in case of uterus weight superior to 250 g. The post operative outcome has revealed the same nature and frequency of complications as usually described.


CONCLUSIONS
In this study, it appears that efforts remain necessary to clarify the indications for hysterectomy in the medical files (in order to promote the alternative procedures to the hysterectomy), and that the proportion of hysterectomies performed by the abdominal route should be reduced in aid of the others surgical routes.
Levêque
J
J
Service de Gynécologie Obstétrique B, CHU de Rennes.
Eon
Y
Y
Colladon
B
B
Foucher
F
F
Chaperon
D
D
Grall
J Y
JY
Taillanter
L
L
D005260:Female; D005602:France; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D018579:Patient Selection; D017410:Practice Guidelines as Topic / Q000592:standards; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery*