A comparison of short-term outcomes between laparoscopic supracervical and total hysterectomy
Presented at the 35th Annual Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.
Received 30 December 2008; received in revised form 2 June 2009; accepted 16 July 2009.
Objective
The purpose of this study was to compare perioperative outcome measures of laparoscopic supracervical (LSH) and total hysterectomies (TLH).
Study Design
This is a retrospective analysis of 1016 LSHs and TLHs at a tertiary medical center between November 1999 and August 2008 in a multivariate logistic regression model.
Results
Overall, the groups were similar. Most of the perioperative outcome measures did not differ statistically between the groups. However, the risk of serious complications was higher for TLH (5.8% vs 2.5%; odds ratio [OR], 2.72; 95% confidence interval [CI], 1.35–5.49). Specifically, urinary tract injury occurred more frequently in TLH (2.2% vs 0.5%; OR, 4.75; 95% CI, 1.21–18.56). Conversion to laparotomy was significantly more common in TLH (5.8% vs 4.1%; OR, 2.25; 95% CI, 1.20–4.22).
Conclusion
In this largest comparison, short-term morbidity of TLH and LSH is overall similar. TLH presents a clinically small, but statistically significant, increased risk of urinary tract injury and conversion to laparotomy.
Department of Obstetrics and Gynecology, Tufts University School of Medicine, Baystate Medical Center, Springfield, MA
Reprints: Oz Harmanli, MD, Director, Urogynecology and Pelvic Surgery, Baystate Medical Center, Associate Professor of Obstetrics and Gynecology, Tufts University School of Medicine, 759 Chestnut St., S-1681 Springfield, MA 01199
Cite this article as: Harmanli OH, Tunitsky E, Esin S, et al. A comparison of short-term outcomes between laparoscopic supracervical and total hysterectomy. Am J Obstet Gynecol 2009;201:536.e1-7.
Authorship and contribution to the article is limited to the 5 authors indicated. There was no outside funding or technical assistance with the production of this article.
ABSTRACT