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International Urogynecology Journal

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01-07-2017 | Original Article

Vaginal vault suspension during hysterectomy for benign indications: a prospective register study of agreement on terminology and surgical procedure

Authors: Lisbeth Bonde, Mette Calundann Noer, Lars Alling Møller, Bent Ottesen, Helga Gimbel

Published in: International Urogynecology Journal | Issue 7/2017

Abstract

Introduction and hypothesis

Several suspension methods are used to try to prevent pelvic organ prolapse (POP) after hysterectomy. We aimed to evaluate agreement on terminology and surgical procedure of these methods.

Methods

We randomly chose 532 medical records of women with a history of hysterectomy from the Danish Hysterectomy and Hysteroscopy Database (DHHD). Additionally, we video-recorded 36 randomly chosen hysterectomies. The hysterectomies were registered in the DHHD. The material was categorized according to predefined suspension methods. Agreement compared suspension codes in DHHD (gynecologists’ registrations) with medical records (gynecologists’ descriptions) and with videos (reviewers’ categorizations) respectively. Whether the vaginal vault was suspended (pooled suspension) or not (no suspension method + not described) was analyzed, in addition to each suspension method.

Results

Regarding medical records, agreement on terminology was good among patients undergoing pooled suspension in cases of hysterectomy via the abdominal and vaginal route (agreement 78.7, 92.3%). Regarding videos, agreement on surgical procedure was good among pooled suspension patients in cases of hysterectomy via the abdominal, laparoscopic, and vaginal routes (agreement 88.9, 97.8, 100%). Agreement on individual suspension methods differed regarding both medical records (agreement 0–90.1%) and videos (agreement 0–100%).

Conclusions

Agreement on terminology and surgical procedure regarding suspension method was good in respect of pooled suspension. However, disagreement was observed when individual suspension methods and operative details were scrutinized. Better consensus of terminology and surgical procedure is warranted to enable further research aimed at preventing POP among women undergoing hysterectomy.

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Title: Vaginal vault suspension during hysterectomy for benign indications: a prospective register study of agreement on terminology and surgical procedure
Authors: Lisbeth Bonde
Mette Calundann Noer
Lars Alling Møller
Bent Ottesen
Helga Gimbel
Publication date: 01-07-2017
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 7/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3229-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Vaginal vault suspension during hysterectomy for benign indications: a prospective register study of agreement on terminology and surgical procedure

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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