title: Does hysterectomy without salpingo-oophorectomy influence the reoperation rate for adnexal pathology? A retrospective study.
abstract: OBJECTIVE
  The aim of this study was to assess if the abdominal, vaginal and laparoscopic approach to hysterectomy can affect the incidence of ovarian or adnexal pathology after hysterectomy without salpingo-oophorectomy.
  
  
  METHODS
  In this study 17 cases out of 617 hysterectomies were found to have development of adnexal pathology; reoperation rate was 2.75%.
  
  
  RESULTS
  The reoperation rate was significantly different (p < 0.006) in the observed approaches to hysterectomy (TAH 5.67%, VH 0.69%, LH 3.18%). The greatest difference was found between the abdominal and vaginal groups.
  
  
  CONCLUSIONS
  Our study results have sufficiently shown that the relationship of a number of factors (age, primary histologic findings, smaller peritoneal trauma) had an important impact on a significant difference in reoperation rate between vaginal, laparoscopic and namely abdominal hysterectomies in female patients with preserved adnexa.
authors.affiliation: Department of Obstetrics and Gynecology, Endoscopy Training Center, Baby Friendly Hospital, Kladno, Czech Republic.
authors.forename: Z
authors.initials: Z
authors.lastname: Holub
authors.forename: M
authors.initials: M
authors.lastname: Jandourek
authors.forename: A
authors.initials: A
authors.lastname: Jabor
authors.forename: L
authors.initials: L
authors.lastname: Kliment
authors.forename: M
authors.initials: M
authors.lastname: Wágnerová
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018153:Czech Republic / Q000453:epidemiology; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007045:Hysterectomy, Vaginal / Q000706:statistics & numerical data; D010535:Laparoscopy; D008875:Middle Aged; D010049:Ovarian Diseases / Q000453:epidemiology* / Q000601:surgery*; D010052:Ovariectomy / Q000706:statistics & numerical data*; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors