Related Experiment Video
Updated: Jan 8, 2026
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Risk of subsequent abdominopelvic surgery in women undergoing hysterectomy with ovarian conservation: A
Alessandra J Ainsworth1,2, Carin Y Smith3, Michael F Neblett1,2
1Division of Reproductive Endocrinology and Infertility, Mayo Clinic, Rochester, Minnesota, USA.
Objective:
To compare the long-term risk of subsequent abdominopelvic surgery in women who underwent hysterectomy with ovarian conservation (H-OC) versus referent women, and in women who underwent abdominal H-OC versus vaginal H-OC.
Methods:
We conducted a population-based cohort study in Olmsted County, Minnesota, USA including 1573 women who underwent H-OC for a benign indication at age 18-44 years between January 1, 1980, and December 31, 2002, and 1573 age-matched (±1 year) referent women who had not undergone hysterectomy or any oophorectomy as of the matching date. For both the H-OC women and the referent women, we defined the index date as the H-OC or matching date plus 6 months. The index date served as the starting point for follow-up.
Results:
Overall, we found an increased risk of subsequent lysis of adhesions in women who underwent H-OC compared to referent women (hazard ratio [HR], 1.57 [95% confidence interval [CI]: 1.09-2.27]). Women undergoing H-OC also had an increased risk of subsequent gastrointestinal tract procedures (HR, 1.18 [95% CI: 1.05-1.31]) compared to referent women. When comparing surgical route of H-OC, we identified an increased risk of subsequent adnexal surgeries in women undergoing abdominal compared with vaginal H-OC (HR, 1.91 [95% CI: 1.40-2.61]).
Conclusion:
Women who underwent H-OC have an increased risk of subsequent abdominopelvic surgeries compared to referent women. In addition, women who underwent abdominal H-OC have an increased risk of subsequent adnexal procedures compared to women who underwent vaginal H-OC.
