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Hysterectomy: surgical route and complications
Anthony Davies1, Roger Hart, Adam Magos
1Minimally Invasive Therapy Unit and Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, The Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, Hampstead, UK. anthony.davies@kingshc.nhs.net
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.