Overcoming barriers to vaginal hysterectomy: An analysis of perioperative outcomes

Abstract

Objective: To determine perioperative outcome differences in patients undergoing vaginal hysterectomy based on uterine weight, vaginaldelivery, and menopausal state.Material and Methods: Retrospective chart review of 452 patients who underwent vaginal hysterectomy performed by a single surgeon.Patients’ age, vaginal delivery, uterine weight, previous pelvic surgery, previous cesarean delivery, removal of ovaries were compared, aswell as estimated blood loss (EBL), operating room time (ORT), length of stay, intraoperative complications and postoperative complications.Multivariable logistic regression was used, and all data were analyzed at the level of p500 mL(p500 mL were greater uterine weight (p=0.001), uterine myomas (p=0.016) and premenopausal state(p=0.014). The factors associated with conversion to laparotomy were greater uterine weight (p