Rate of major complications is higher in laparoscopic than abdominal hysterectomy but quality of life improves with both procedures

Lee A. Learman

Research output: Contribution to journalComment/debate

2 Scopus citations

Abstract

Question. Is the risk of major complications greater following laparoscopic hysterectomy compared with abdominal and vaginal hysterectomy for non-malignant conditions? Study design. Two parallel, multi-centre randomised trials. Main results. More major complications were experienced with laparoscopic hysterectomy compared with abdominal hysterectomy (11.1% vs 6.2%; mean difference 4.9%, 95% CI 0.9% to 9.1%, number needed to harm 20). There was no significant difference in complication rates between laparoscopic and vaginal hysterectomy groups (complication rate 9.5% for both groups). Pain scores were higher following abdominal hysterectomy compared with laparoscopic hysterectomy (mean difference 0.4, 95% CI 0.09 to 0.7). There was no detectable difference in the vaginal trial. Quality of life at 12 months improved with all interventions. Authors' conclusions. Major complications were more common following laparoscopic hysterectomy compared with abdominal hysterectomy. The vaginal trial was inconclusive.

Original languageEnglish (US)
Pages (from-to)232-234
Number of pages3
JournalEvidence-Based Healthcare
Volume8
Issue number4
DOIs
StatePublished - Aug 2004

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Keywords

  • Adverse events
  • Hysterectomy
  • Laparoscopic surgery
  • Randomised controlled trial

ASJC Scopus subject areas

  • Medicine(all)

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