Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015)

Neis, K J; Zubke, W; Römer, T; Schwerdtfeger, K; Schollmeyer, T; Rimbach, S; Holthaus, B; Solomayer, E; Bojahr, B; Neis, F; Reisenauer, C; Gabriel, B; Dieterich, H; Runnenbaum, I B; Kleine, W; Strauss, A; Menton, M; Mylonas, I; David, M; Horn, L-C; ... (2016). Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015). Geburtshilfe und Frauenheilkunde, 76(4), pp. 350-364. Thieme 10.1055/s-0042-104288

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Background: Official guideline "indications and methods of hysterectomy" to assign indications for the different methods published and coordinated by the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (OEGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). Besides vaginal and abdominal hysterectomy, three additional techniques have been implemented due to the introduction of laparoscopy. Organ-sparing alternatives were also integrated. Methods: The guideline group consisted of 26 experts from Germany, Austria and Switzerland. Recommendations were developed using a structured consensus process and independent moderation. A systematic literature search and quality appraisal of benefits and harms of the therapeutic alternatives for symptomatic fibroids, dysfunctional bleeding and adenomyosis was done through MEDLINE up to 6/2014 focusing on systematic reviews and meta-analysis. Results: All types of hysterectomy led in studies to high rates of patient satisfaction. If possible, vaginal instead of abdominal hysterectomy should preferably be done. If a vaginal hysterectomy is not feasible, the possibility of a laparoscopic hysterectomy should be considered. An abdominal hysterectomy should only be done with a special indication. Organ-sparing interventions also led to high patient satisfaction rates, but contain the risk of symptom recurrence. Conclusion: As an aim, patients should be enabled to choose that therapeutic intervention for their benign disease of the uterus that convenes best to them and their personal life situation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Kuhn, Annette

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0016-5751

Publisher:

Thieme

Language:

English

Submitter:

Monika Zehr

Date Deposited:

10 May 2017 10:27

Last Modified:

05 Dec 2022 15:02

Publisher DOI:

10.1055/s-0042-104288

PubMed ID:

27667852

Uncontrolled Keywords:

bleeding disorders; endometriosis; guideline; hysterectomy; uterine myomas

BORIS DOI:

10.7892/boris.94552

URI:

https://boris.unibe.ch/id/eprint/94552

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