Bjørn Busund

Abdominal hysterectomy should not be considered as a primary method for uterine removal: A prospective randomised study of 100 patients referred to hysterectomy

Objective. The present study is a prospective randomized comparison of laparoscopically assisted vaginal hysterectomy (LH) with total abdominal hysterectomy (TAH).

Endometrial ablation with NovaSure™ GEA, a pilot study

Acta Obstet Gynecol Scand 2003; 82: 65–68.

Endoscopic treatment of deep infiltrating endometriosis (DIE) involving the bladder and rectosigmoid colon

Background. To study the feasibility, complications and symptom relief of laparoscopic treatment in patients with deep infiltrating endometriosis.

Blue rubber bleb nevus syndrome with manifestations in the vulva

The blue rubber bleb nevus syndrome (BRBNS) is a rare vascular disorder, manifesting with hemangiomas which are usually located in the gastrointestinal tract and/or in the skin. These lesions can cause local, sometimes severe bleedings or cosmetic problems. This report describes a young woman with BRBNS manifestations on the buttocks and in the vulva, the latter giving rise to symptoms specific to this location. The blood‐filled blebs were successfully treated by argon laser. As far as we know, manifestations of this disease in the female genital tract have not previously been described.

Autotransplantation of cryopreserved ovarian tissue after treatment for malignant disease – the first Norwegian results

With increasing survival rates after treatment for cancer in prepubertal girls and women of reproductive age, an increasing focus on quality of life has emerged. Both irradiation and cytotoxic drugs can be detrimental to future fertility, consequently several treatment alternatives have been developed to spare or restore fertility in young females diagnosed with cancer. One of these options is cryopreservation of ovarian tissue before treatment and autotransplantation at a later time.

Childbearing or induced abortion: the impact of education and ethnic background. Population study of Norwegian and Pakistani women in Oslo, Norway.

Objective. To study patterns of induced abortion versus childbirth related to education among Norwegian and Pakistani women. Design and setting. Population‐based study in Oslo, Norway. Population. All women 15–50 years of age of Norwegian (n = 94,428) or Pakistani (n = 5,390) descent living in Oslo. Main outcome measures. Induced abortion or child delivery. Results. In Norwegian women with a university education, 15.3% delivered a child and 2.9% had an induced abortion between 2000 and 2002. In women with less than high school education, the figures were 5.3% and 4.3%. Pregnant women with less than high school education were twice as likely to have an induced abortion as women with a university education (odds ratio, 2.0; 95% confidence interval, 1.7–2.5), after adjustment for age, parity, marital status, and residential area. Among Pakistani women with a university education, 23.0% gave birth and 2.9% had an induced abortion. In Pakistani women with less than high school education, the figures were 20.8% and 2.8%. Among pregnant Pakistani women, those with less than high school education were less likely to have an induced abortion compared to women with a university education (odds ratio, 0.5; 95% confidence interval, 0.2–1.1). Conclusions. Childbirth was substantially more common in Pakistani than in Norwegian women living in Oslo. In Norwegian women, low education was associated with lower frequency of child delivery but higher frequency of induced abortion. In Pakistani women, child delivery was not related to education, but induced abortion tended to be more frequent in those with a university education.

Surgical treatment of benign gynecological disorders

BACKGROUND All of Norways inhabitants are entitled to health services of a good and equal quality. The aim of this study was to evaluate whether women with benign gynaecological disorder are treated according to this principle. Guidelines recommend that the laparoscopic technique should be used to operate ectopic pregnancies and ovarian cysts. Vaginal or laparoscopic technique should be used for hysterectomies. MATERIAL AND METHODS Recording of surgical modality used in gynaecological departments in Norway to treat ectopic pregnancies, ovarian cysts and hysterectomies on the indication bleeding disorders and/or fibroids. Data were retrieved from the National Patient Register for the years 2003 - 06. RESULTS The proportion of operations performed with laparotomy was gradually reduced for the conditions assessed during the period of observation. 24 % of women with ectopic pregnancies were operated with laparotomy in 2003 and 14 % in 2006; 50 % of women with ovarian cysts were operated with the technique in 2003 and 41 % in 2006. For hysterectomies due to bleeding disorders and/or fibroids, the frequency of laparotomies decreased from 75 % in 2003 to 62 % in 2006. Adherence to guidelines is best in departments that perform many operations. INTERPRETATION Different surgical approaches are used to treat the same benign gynecological disorders in Norway. The reason for this difference has not been evaluated, but it may be explained by tradition, lack of competence and inadequate training of gynecologists.