Hysterectomy: surgical route and complications

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

Hysterectomy: surgical route and complications

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

Bristol Medical School (PHS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

35 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	148-51
Number of pages	4
Journal	European Journal of Obstetrics and Gynecology and Reproductive Biology
Volume	104
Issue number	2
Publication status	Published - 10 Sept 2002

Bibliographical note

Keywords

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

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title = "Hysterectomy: surgical route and complications",

abstract = "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.",

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

author = "Anthony Davies and Roger Hart and Adam Magos and Entesar Hadad and Richard Morris",

year = "2002",

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TY - JOUR

T1 - Hysterectomy

T2 - surgical route and complications

AU - Davies, Anthony

AU - Hart, Roger

AU - Magos, Adam

AU - Hadad, Entesar

AU - Morris, Richard

PY - 2002/9/10

Y1 - 2002/9/10

N2 - 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.

AB - 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.

KW - Anti-Bacterial Agents

KW - Female

KW - Humans

KW - Hysterectomy

KW - Hysterectomy, Vaginal

KW - Laparoscopy

KW - Postoperative Complications

KW - Regression Analysis

KW - Retrospective Studies

M3 - Article (Academic Journal)

C2 - 12206928

SN - 0301-2115

VL - 104

SP - 148

EP - 151

JO - European Journal of Obstetrics and Gynecology and Reproductive Biology

JF - European Journal of Obstetrics and Gynecology and Reproductive Biology

IS - 2

ER -

Hysterectomy: surgical route and complications

Abstract

Bibliographical note

Keywords

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