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Risk of fistula for...
Risk of fistula formation and long-term health effects after a benign hysterectomy complicated by organ injury : A population-based register study
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- Hesselman, Susanne, 1973- (author)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Klinisk obstetrik
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- Bergman, Lina (author)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Klinisk obstetrik
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- Högberg, Ulf, 1949- (author)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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- Jonsson, Maria, 1966- (author)
- Uppsala universitet,Klinisk obstetrik
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(creator_code:org_t)
- 2018-10-07
- 2018
- English.
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In: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 97:12, s. 1463-1470
- Related links:
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https://obgyn.online...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- INTRODUCTION: There is a paucity of data on the impact of organ injury on long-term outcomes after a hysterectomy for benign indications. The aim of this study was to investigate fistula formation and patient-reported long-term health outcomes after organ injury at the time of a hysterectomy.MATERIAL AND METHODS: This was a population-based study of 22 538 women undergoing a hysterectomy between 2000 and 2014 in Sweden. Their medical history, characteristics of their surgery, and patient-reported outcomes were retrieved from Swedish national health and quality registers. Predictors for fistula formation were investigated with logistic regression and are presented as odds ratios with a 95% CI.RESULTS: Fistulas were reported in 7% of women with organ injuries, compared with 0.4% of those without organ injuries (adjusted odds ratio 15.29 [9.81-23.85]). Laparotomy and postoperative infection were associated with postoperative fistulas. Most of the women reported having better health 1 year after the hysterectomy, but 7% of those with organ injuries and 24% of those with fistulas reported deteriorated health, compared with 2% of women without injuries.CONCLUSION: Organ injury at the time of hysterectomy is associated with the development of fistulas involving the female genital tract and increases the proportion of women reporting deteriorated health 1 year after surgery.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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