Hysterectomy: surgical route and complications

Anthony Davies, Roger Hart, Adam Magos, Entesar Hadad, Richard Morris

Research output: Contribution to journalArticle (Academic Journal)peer-review

35 Citations (Scopus)


OBJECTIVES: To compare the morbidity associated with abdominal, vaginal and laparoscopic hysterectomies in a group of patients suitable for anyone of these surgical routes.

STUDY DESIGN: Retrospective analysis of 1000 consecutive hysterectomies.

RESULTS: The 513 patients were deemed to be suitable for hysterectomy by anyone of the three surgical routes. The overall complication rates were 34, 24 and 21% for abdominal, vaginal and laparoscopic hysterectomy, respectively. Multiple regression analysis showed that the morbidity was similar when confounding factors were allowed for, in particular the use of peri-operative antibiotics.

CONCLUSIONS: The route of hysterectomy is not a major determining factor of peri-operative complications when other confounding variables are taken into account.

Original languageEnglish
Pages (from-to)148-51
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Issue number2
Publication statusPublished - 10 Sept 2002

Bibliographical note

Copyright 2002 Elsevier Science Ireland Ltd.


  • Anti-Bacterial Agents
  • Female
  • Humans
  • Hysterectomy
  • Hysterectomy, Vaginal
  • Laparoscopy
  • Postoperative Complications
  • Regression Analysis
  • Retrospective Studies


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