The document discusses different types of hysterectomy procedures including total abdominal hysterectomy, total vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy, and laparoscopic hysterectomy. It also discusses laparoscopic supracervical hysterectomy. Outcomes of the different procedures are compared, noting that 90% of patients prefer minimally invasive procedures with quick recovery. Long-term outcomes and risks of subsequent procedures are presented for the different hysterectomy types.

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3. Outcomes Comparison 90% of AUB patients prefer treatments that are painless, require no large incision and allow a quick recovery . 4 1 Brumsted JR, Blackman JA, et.al., Fertility and Sterility, Vol. 65:2, 1996 2 Dwyer, ibid 3 Brooks, PG, et.al., Journal of Reproductive Medicine, Vol. 39, No. 10, October 1994, Rand Corporation 4 RAND Institute, AAGL 9/97 www.freelivedoctor.com

4. Long-Term Patient Outcomes Comparison Long-term Experience Abdominal Hysterectomy Supracervical Hysterectomy SMART Procedure Complete / Near Complete Absence of Bleeding 100% 100% 85% Reproductive Potential Maintained Subsequent Procedures 10% 10% 15% Risk of Incontinence 40% Increase No No OPERA Procedure www.freelivedoctor.com