Publication:
Subtotal hysterectomy causes fewer long-term detrimental effects on ovary tissues than total hysterectomy

dc.contributor.authorLi, Jie
dc.contributor.authorZhang, Yuan
dc.contributor.authorTian, Fei
dc.contributor.authorZhang, Junqin
dc.contributor.authorHan, Hua
dc.date.accessioned2023-12-05T09:45:14Z
dc.date.available2023-12-05T09:45:14Z
dc.date.issued2024
dc.description.abstractBackground. Hysterectomy is the basic surgical procedure of gynecological surgery. Traditionally, it is divided into total hysterectomy (TH) and subtotal hysterectomy (STH) according to the scope of surgery. The ovary is a dynamic organ appended with the uterus, and the uterus provides vascular supply to the developing ovary. However, the long-term impacts of TH and STH on ovary tissues need to be evaluated. Method. In this study, rabbit models of different ranges of hysterectomy were successfully created. The estrous cycle of animals was determined by vaginal exfoliated cell smear 4 months after the operation. The apoptosis rate of ovarian cells in each group was determined by flow cytometry, and the morphology of ovarian tissue and granulosa cells in the control group, triangular hysterectomy group and total hysterectomy group were observed under microscope and electron microscope, respectively. Results. After total hysterectomy, the apoptotic events in ovarian tissues were significantly increased when compared to the sham and triangle hysterectomy group. Increased apoptosis was accompanied with the morphological changes and disrupted organelle structures in ovarian granulosa cells. The follicles in the ovarian tissue were dysfunctional and immature, with more atretic follicles being observed. In contrast, ovary tissues in triangular hysterectomy groups showed no obvious defects on the morphology of ovarian tissue and granulosa cells. Conclusions. Our data suggest that subtotal hysterectomy may serve as an alternative to total hysterectomy, with fewer long-term detrimental effects on ovary tissues.es
dc.formatapplication/pdfes
dc.format.extent9es
dc.identifier.citationHistology and Histopathology Vol. 39, nº1 (2024)
dc.identifier.doihttps://doi.org/10.14670/HH-18-612
dc.identifier.issn0213-3911
dc.identifier.issn1699-5848
dc.identifier.urihttp://hdl.handle.net/10201/136408
dc.languageenges
dc.publisherUniversidad de Murcia, Departamento de Biologia Celular e Histiologiaes
dc.relationSin financiación externa a la Universidades
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectTotal hysterectomyes
dc.subjectSubtotal hysterectomyes
dc.subjectTriangle hysterectomyes
dc.subjectUteruses
dc.subjectOvary tissueses
dc.subjectGranulosa cellses
dc.subject.otherCDU::6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncologíaes
dc.titleSubtotal hysterectomy causes fewer long-term detrimental effects on ovary tissues than total hysterectomyes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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