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Abstract
Although hysterectomy was the most frequently performed major surgical procedure among
women of reproductive age during the past decade, few recent studies have been conducted
to determine the risk of complications. We examined data from the Collaborative Review
of Sterilization, a prospective, multicenter, observational study coordinated by the
Centers for Disease Control, to assess the comparative risks of complications among
women undergoing hysterectomy by the abdominal and vaginal approaches. Between September,
1978, and August, 1981, 1,851 women from nine institutions were included in the study.
Women who underwent vaginal hysterectomy experienced significantly fewer complications
than women who had undergone abdominal hysterectomy. The difference was probably attibutable
to the prevalence and efficacy of prophylactic antibiotic use among the former group.
Vaginal hysterectomy was associated with more unintended major surgical procedures
but less febrile morbidity, bleeding requiring transfusion, hospitalization, and convalescence
than abdominal hysterectomy. Vaginal hysterectomy with prophylactic antibiotics should
be strongly considered for those women of reproductive age for whom either surgical
approach is clinically appropriate.
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References
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Article info
Publication history
Accepted:
July 6,
1982
Received in revised form:
June 24,
1982
Received:
March 5,
1982
Footnotes
☆The Collaborative Review of Sterilization consists of the following: Design, Coordination, and Analysis Center—Family Planning Evaluation Division, Centers for Disease Control, Atlanta, Georgia; Data Collection Institutions—Barnes Hospital, Washington University Center for Outpatient Gynecologic Surgery, St. Louis, Missouri; Children's Hospital of Buffalo, Deaconess Hospital of Buffalo, Buffalo General Hospital, Erie County Medical Center, Millard Fillmore Hospitals, Buffalo, New York; North Carolina Memorial Hospital, Chapel Hill, North Carolina; The Johns Hopkins Hospital, Baltimore, Maryland; Sutter Memorial Hospital, Sacramento, California; Principal Investigators—Dr. Ernst Friedrich, St. Louis, Missouri; Dr. Norman Courey, Buffalo, New York; Dr. J. F. Hulka, Chapel Hill, North Carolina; Dr. Lucas Blanco, Baltimore, Maryland; Dr. Gary Stewart, Sacramento, California.
Identification
Copyright
© 1982 Published by Elsevier Inc.
