Laparoscopic Supracervical Hysterectomy safer than total Laparoscopic Hysterectomy among patients with uterine fibroids: Study
Researchers have found in a new research that Laparoscopic supracervical hysterectomy (LSH) has a lower risk of short-term postoperative complications compared to total laparoscopic hysterectomy (TLH) in patients with uterine fibroids. Therefore these findings support informed, shared decision-making when considering minimally invasive hysterectomy for uterine fibroids. Hysterectomy is the standard surgical treatment for uterine fibroids in the United States, but there has been limited information on how the two most common minimally invasive surgical methods impact patient outcomes. The study was conducted by Raanan M. and published in the American Journal of Obstetrics and Gynecology.
This cohort study used data from the American College of Surgeons National Surgical Quality Improvement Program database of cases from 2012 to 2020. The analysis involved 50,796 women who had total laparoscopic hysterectomy (44,413 patients) or laparoscopic supracervical hysterectomy (6383 patients) performed for the purpose of uterine fibroids. Researchers compared 30-day postoperative complications, classified based on the Clavien-Dindo classification. Variables like age, body mass index, race, comorbidities, American Society of Anesthesiologists classification, uterine weight, and other surgical procedures were compared using multivariate regression to identify their role in postoperative results.
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