title: Prophylactic adnexectomy along with vaginal hysterectomy for benign pathology.
abstract: OBJECTIVE
  This study was designed to evaluate the safety and feasibility of prophylactic adnexectomy during vaginal hysterectomy for benign pathology.
  
  
  METHODS
  We retrospectively reviewed medical records of all patients who underwent vaginal hysterectomy (VH) between 2008 and 2010. Clinical comparison of patients who underwent VH with adnexectomy (n = 92) and VH only (n = 686) was performed. Clinical characteristics (age, parity, body mass index, and previous pelvic surgery), surgical outcomes (uterine weight, operative time, estimated blood loss, pelvic adhesion, hemoglobin change and hospital stay) and intra- and postoperative complications (transfusion, bladder injury and fever) were evaluated.
  
  
  RESULTS
  Clinical characteristics except for age (45.44 years for VH only vs. 47.15 years for VH with adnexectomy, P = 0.007) were not different between the two groups. Similarly, surgical outcomes and complication rates were not different between the two groups.
  
  
  CONCLUSIONS
  Prophylactic bilateral adnexectomy can be performed safely during VH.
authors: Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.
authors: Hye-yon
authors: HY
authors: Cho
authors: Sung-won
authors: SW
authors: Kang
authors: Hong-bae
authors: HB
authors: Kim
authors: Sung-ho
authors: SH
authors: Park
authors: Sung Taek
authors: ST
authors: Park
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery*; D000328:Adult; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D008875:Middle Aged; D061646:Operative Time; D009929:Organ Size; D010051:Ovarian Neoplasms / Q000517:prevention & control*; D010052:Ovariectomy / Q000009:adverse effects; D012189:Retrospective Studies; D058994:Salpingectomy / Q000009:adverse effects; D014591:Uterine Diseases / Q000473:pathology* / Q000601:surgery