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Obstetrics & Gynecology:
doi: 10.1097/AOG.0000000000000398
Contents: Current Commentary

Considerations to Improve the Evidence-Based Use of Vaginal Hysterectomy in Benign Gynecology

Moen, Michael MD; Walter, Andrew MD; Harmanli, Oz MD; Cornella, Jeffrey MD; Nihira, Mikio MD, MPH; Gala, Rajiv MD; Zimmerman, Carl MD; Richter, Holly E. PhD, MD; for the Society of Gynecologic Surgeons Education Committee

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Abstract

Vaginal hysterectomy fulfills the evidence-based requirements as the preferred route of hysterectomy for benign gynecologic disease. Despite proven safety and effectiveness, the vaginal approach for hysterectomy has been and remains underused in surgical practice. Factors associated with underuse of vaginal hysterectomy include challenges during residency training, decreasing case numbers among practicing gynecologists, and lack of awareness of evidence supporting vaginal hysterectomy. Strategies to improve resident training and promote collaboration and referral among practicing physicians and increasing awareness of evidence supporting vaginal hysterectomy can improve the primary use of this hysterectomy approach.

© 2014 by The American College of Obstetricians and Gynecologists.

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