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Die LAVH im Vergleich mit der abdominalen und der vaginalen Hysterektomie

  • P. Kressin
  • E. Malik
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Zusammenfassung

Die Hysterektomie ist derzeit in den industrialisierten Ländern neben dem Kaiserschnitt und der Cholezystektomie eine der am häufigsten durchgefuhrten Operationen. Die Wahl des Zugangsweges zeigt dabei re-gionale Unterschiede. In den USA wird ungefähr ein Drittel aller Frauen bis zum Alter von 65 Jahren hysterektomiert, ca. 70-80% auf abdomina-lem Wege [25]. In England erfahren ca. 20% der Frauen bis zum 55. Le-bensjahr eine Hysterektomie [64], Davon werden mindestens 80% auf abdominalem Wege durchgefuhrt [13]. In Italien liegt die Hysterektomie-rate zwischen dem 40. und 70. Lebensjahr bei 15% [63]. In Schweden werden mehr als 95% aller Hysterektomien in Zusammenhang mit einem Prolaps uteri auf abdominalem Wege durchgeführt [43]. Der iiber-wiegend hohe Anteil abdominaler Hysterektomien steht in einem gewis-sen Widerspruch zu der Beobachtung, dass die vaginale Hysterektomie mit einer geringeren Komplikationsrate, einer kiirzeren Krankenhausver-weildauer, kürzeren Rekonvaleszenz und geringeren Kosten einhergeht [7, 34].

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© Springer-Verlag Berlin Heidelberg 2002

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  • P. Kressin
  • E. Malik

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