TY - JOUR
T1 - Postoperative outcomes in minimally invasive total versus supracervical hysterectomy for endometriosis
T2 - a NSQIP study
AU - Meyer, Raanan
AU - McDonnell, Jill
AU - Hamilton, Kacey M.
AU - Schneyer, Rebecca J.
AU - Levin, Gabriel
AU - Wright, Kelly N.
AU - Siedhoff, Matthew T.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024
Y1 - 2024
N2 - Purpose: To study the rate and odds of 30 day postoperative complications among patients undergoing minimally invasive total (TLH) compared to supracervical (LSCH) hysterectomy for endometriosis. Study design: A cohort study of patients with a diagnosis of endometriosis undergoing hysterectomy. We used prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2020. We compared short-term (30 day) complications, following minimally invasive TLH and LSCH for endometriosis. The primary outcome was the risk of any postoperative complications according to the surgical approach. Results: A total of 5,278 patients were included, 4,952 (93.8%) underwent TLH and 326 (6.2%) underwent LSCH. The incidence of any complication was significantly lower in the LSCH group compared to the TLH group (3.7% vs. 8.5%, p =.001). Both major complications (1.5% vs. 3.7%, p = 0.043) and minor complications (2.8% vs. 5.4%, p =.039) were less frequent in the LSCH group compared to the TLH group. In multivariable regression analysis, patients undergoing LSCH had significantly lower odds of any complication [aOR 95%CI 0.40 (0.22–0.72)], and of minor complications [aOR 95%CI 0.47 (0.24–0.92)] compared to TLH. Conclusions: LSCH is associated with a lower odd of short-term postoperative complications compared to TLH for patients with endometriosis.
AB - Purpose: To study the rate and odds of 30 day postoperative complications among patients undergoing minimally invasive total (TLH) compared to supracervical (LSCH) hysterectomy for endometriosis. Study design: A cohort study of patients with a diagnosis of endometriosis undergoing hysterectomy. We used prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2020. We compared short-term (30 day) complications, following minimally invasive TLH and LSCH for endometriosis. The primary outcome was the risk of any postoperative complications according to the surgical approach. Results: A total of 5,278 patients were included, 4,952 (93.8%) underwent TLH and 326 (6.2%) underwent LSCH. The incidence of any complication was significantly lower in the LSCH group compared to the TLH group (3.7% vs. 8.5%, p =.001). Both major complications (1.5% vs. 3.7%, p = 0.043) and minor complications (2.8% vs. 5.4%, p =.039) were less frequent in the LSCH group compared to the TLH group. In multivariable regression analysis, patients undergoing LSCH had significantly lower odds of any complication [aOR 95%CI 0.40 (0.22–0.72)], and of minor complications [aOR 95%CI 0.47 (0.24–0.92)] compared to TLH. Conclusions: LSCH is associated with a lower odd of short-term postoperative complications compared to TLH for patients with endometriosis.
KW - Complications
KW - Laparoscopy
KW - Pelvic pain
KW - Robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=85206838392&partnerID=8YFLogxK
U2 - 10.1007/s00404-024-07749-y
DO - 10.1007/s00404-024-07749-y
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C2 - 39412533
AN - SCOPUS:85206838392
SN - 0932-0067
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
ER -