Objective: To validate self-reported hysterectomy and bilateral oophorectomy.
Design: Validation study.
Setting: Large population-based cohort study in Norway: The Trøndelag Health Study (HUNT).
Population: The Trøndelag Health Study 2 and 3 (HUNT2 and HUNT3) included questions on gynaecological history. Women who answered questions regarding hysterectomy and/or oophorectomy were included. In total, 30 263 women were included from HUNT2 (1995-1997) and 23 138 from HUNT3 (2006-2008), of which 16 261 attended both HUNT2 and HUNT3.
Methods: We compared self-reported hysterectomy and bilateral oophorectomy with electronic hospital procedure codes.
Main Outcome Measures: Sensitivity, specificity, positive predictive value and negative predictive value of self-reported hysterectomy and bilateral oophorectomy, by comparing with hospital procedure codes.
Results: Self-reported hysterectomy and bilateral oophorectomy in HUNT2 and/or HUNT3 both had specificity and negative predictive value above 99%. Self-reported hysterectomy had a sensitivity of 95.9%, and for bilateral oophorectomy sensitivity was 91.2%. Positive predictive value of self-reported hysterectomy was 85.8%, but for self-reported bilateral oophorectomy it was 65.4%.
Conclusions: Self-reported hysterectomy corresponded quite well with hospital data and can be used in epidemiological studies. Self-reported bilateral oophorectomy, on the other hand, had low positive predictive value, and results based on such data should be interpreted with caution. Women who report no previous hysterectomy or bilateral oophorectomy can safely be classified as unexposed to these surgeries.
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- The study aimed to compare long-term decision regret in younger patients (30 years or younger) versus older patients (31-49 years) who underwent laparoscopic hysterectomy for benign conditions.
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- Results showed that younger participants experienced significantly higher rates of regret regarding both surgical decisions and loss of fertility compared to older participants, indicating that age influences feelings of regret post-surgery.
Idiopathic pneumoperitoneum after gynecological surgery: a report of two clinical cases.
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General Surgery Department, Unidade Local de Saúde de Lisboa Ocidental, E.P.E., Estrada Forte do Alto Duque, 1449-005, Lisboa, Portugal.
Pneumoperitoneum, characterized by the presence of air in the peritoneal cavity, is usually associated with severe clinical conditions, such as perforations of hollow viscera, often requiring urgent surgical intervention. However, in rare cases, pneumoperitoneum occurs without an identifiable cause, thus classified as idiopathic pneumoperitoneum. We present two clinical cases of women who developed pneumoperitoneum after extensive gynecological surgeries.
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