title: Changing hysterectomy technique from open abdominal to laparoscopic: new trend in Oslo, Norway.
abstract: OBJECTIVE
  To evaluate the change in hysterectomy technique.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification XXX).
  
  
  METHODS
  University tertiary referring center in Norway.
  
  
  METHODS
  A total of 1963 women treated with hysterectomy over a 5-year period in Oslo.
  
  
  METHODS
  The operative records and techniques were investigated in all treated patients.
  
  
  RESULTS
  A total of 1963 hysterectomies were performed from 2001 through 2005. The operative patient records were investigated with the main focus on indication for surgery and the technique used in the operative procedure. In 2001, 62 (17.7%) laparoscopic hysterectomies were performed, while 256 (73.1%) of the hysterectomies were done with laparotomy. The operative technique has gradually changed during the last 5 years. In 2005, 220 (53.5%) of the surgical procedures were laparoscopic, 177 (43.1%) were done by laparotomy, while the vaginal approach in all these years was less than 10%.
  
  
  CONCLUSIONS
  From 2001 to 2005, a trend shift of the operative technique has been observed in Oslo, increasing the endoscopic hysterectomy rate from approximately 18% to 54%. During the same time, enlarged uteri with myomas equivalent to 10 to 12 weeks' gestation and endometrial cancer were more often treated by laparoscopic hysterectomy instead of open abdominal hysterectomy. With modern equipment and trained staff, more routine hysterectomies can be managed with laparoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, Ullevål University Hospital, University of Oslo, Oslo, Norway. post@oistre.com
authors.forename: Olav
authors.initials: O
authors.lastname: Istre
authors.forename: Anton
authors.initials: A
authors.lastname: Langebrekke
authors.forename: Erik
authors.initials: E
authors.lastname: Qvigstad
mesh_terms: D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000706:statistics & numerical data* / Q000639:trends*; D010535:Laparoscopy / Q000706:statistics & numerical data* / Q000639:trends*; D009214:Myoma / Q000601:surgery; D009664:Norway; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000601:surgery