Abstract
Objective
To describe conditions regarding hysterectomy for benign indications during the past
35 years in Denmark.
Study design
Population-based register study of 167,802 women who underwent hysterectomy for benign
conditions in the period 1977–2011. Patient data regarding operative techniques, hospitalization,
indications, patient age, and geography were extracted from the Danish National Patient
Register.
Results
The overall rate of hysterectomy was around 180/100,000 woman years during the period.
A rise in laparoscopic and vaginal hysterectomy was seen at the expense of abdominal
hysterectomy. The indication of pelvic organ prolapse and abnormal uterine bleeding
increased while the indication of fibroids decreased. The average age of women at
time of hysterectomy increased from 46 years in 1977–1981 to 50 years in 2006–2011.
The mean number of hospitalization days was reduced by 75%. Regional differences were
detected regarding route of hysterectomy and hospitalization.
Conclusions
This study demonstrates a change in the pattern of indications for hysterectomy, increased
age of the affected women, reduced length of stay in the hospital, and a rise in the
percentage of minimal invasive surgical procedures.
Abbreviations:
AUB (abnormal uterine bleeding), POP (pelvic organ prolapse)Keywords
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Article info
Publication history
Published online: September 26, 2013
Accepted:
September 11,
2013
Received in revised form:
August 2,
2013
Received:
April 22,
2013
Identification
Copyright
© 2013 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
