Hysterectomy: surgical route and complications.
OBJECTIVE
To compare the morbidity associated with abdominal, vaginal and laparoscopic hysterectomies in a group of patients suitable for anyone of these surgical routes.


METHODS
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.
Minimally 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
Anthony
A
Davies
Roger
R
Hart
Adam
A
Magos
Entesar
E
Hadad
Richard
R
Morris
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012044:Regression Analysis; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents