ResearchGynecologyRisk of venous thromboembolism in abdominal versus minimally invasive hysterectomy for benign conditions
Section snippets
Materials and Methods
Patients who underwent hysterectomy for benign disease from January 2010 through December 2012 and were recorded in the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database were included in this study. Current Procedural Terminology (CPT) codes were used to identify patients who underwent hysterectomy and to classify patients by route of surgery (Figure). CPT codes that include hysterectomy along with other procedures, such as lymphadenectomy, which
Results
Demographic variables and known VTE risk factors are presented in Table 1 for both cases and controls. A total of 44,167 patients underwent a hysterectomy from January 2010 through December 2012. Route of surgery was open in 12,733 patients (28.8%), laparoscopic in 22,559 patients (51.1%), and vaginal in 8875 patients (20.1%). Mean age was 47.9 ± 10.7 years and mean BMI was 30.0 ± 7.9 kg/m2. Of the patients, 7% were diabetic, 26.5% were hypertensive, and 18.5% had smoked within the last year.
Comment
The current literature on VTE following gynecologic surgery for benign indications has also reported a low rate of VTE. Two prospective trials have followed up patients after gynecologic laparoscopy with venous duplex ultrasonography and found no DVTs among 338 patients.7 In a more recent study, a prospective cohort study followed up 5297 patients undergoing hysterectomy for benign indications in Finland. They found an incidence of VTE of 0.1% for patients undergoing laparoscopic or vaginal
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The authors report no conflict of interest.
Cite this article as: Barber EL, Neubauer NL, Gossett DR. Risk of venous thromboembolism in abdominal versus minimally invasive hysterectomy for benign conditions. Am J Obstet Gynecol 2015;212:609.e1-7.