title: Hysterectomy trends for benign indications over a 15-year period in an academic teaching center in Poland: a retrospective cohort study.
abstract: The aim of the study was to evaluate changes in the operative trends for various types of hysterectomy due to benign indications, between 2001 and 2015, at the 2nd Department of Gynecology, Medical University of Lublin, as compared to the National Health Service (NHS) registry in Poland.
  
  
  
  A retrospective cohort study was conducted. Data from the Internal Hospital Discharge Registry and Pathological Results Registry have been compared to the NHS database, which has been available nationwide since 2009.
  
  
  
  The study group included 5629 women who underwent hysterectomy due to benign indications. During the study period, the following number of procedures were performed: total abdominal hysterectomy - 344 (6.11%), total abdominal hysterectomy with bilateral salpingo-oophorectomy - 1760 (31.27%), total vaginal hysterectomy - 563 (10.00%), subtotal abdominal hysterectomy - 2536 (45.05%), and laparoscopically-assisted subtotal hysterectomy (LASH) - 426 (7.57%). The abdominal route, with the preference for subtotal abdominal hysterectomy, was the main approach to hysterectomy. Symptomatic fibroids were the most common indication for the procedure. Comparison of data collected over the last five years revealed a significant difference in the approach to hysterectomy in favor of subtotal abdominal hysterectomy (SAH) and LASH.
  
  
  
  Less invasive techniques of hysterectomy (LASH, SAH), which are the preferred choice at the 2nd Department of Gynecology (Lublin), are safe and effective options of treating benign conditions. We are of the opinion that these ap-proaches should be offered to patients instead of more radical techniques. Proper training of physicians may influence the decision-making process in favor of minimally invasive techniques.
authors.affiliation: 2nd Department of Gynecology, Medical University of Lublin, Poland. kasia.rom@interia.pl.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Romanek-Piva
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Gałczyński
authors.forename: Aneta
authors.initials: A
authors.lastname: Adamiak-Godlewska
authors.forename: Konrad
authors.initials: K
authors.lastname: Futyma
authors.forename: Paweł
authors.initials: P
authors.lastname: Miotła
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rechberger
mesh_terms: D005260:Female; D006176:Gynecology / Q000379:methods / Q000639:trends; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000639:trends; D007045:Hysterectomy, Vaginal / Q000379:methods / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000379:methods / Q000706:statistics & numerical data; D007813:Laparotomy / Q000379:methods / Q000706:statistics & numerical data; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000145:classification / Q000453:epidemiology / Q000601:surgery
keywords: hysterectomy; laparoscopy; operative tends