A retrospective study was conducted to collect 1828 cases of benign hysterectomy from 01/01/2015 to 31/12/2021 from the electronic case database of the Department of Obstetrics and Gynecology of the No. 1 People's Hospital of Xiangyang City, Hubei University of Medicine (a large general hospital in Xiangyang City, Hubei Province, China). Case searches were performed using the following ICD-9-CM procedure codes: abdominal hysterectomy (AH) (68.3), total laparoscopic hysterectomy (TLH) (68.4), or vaginal hysterectomy (VH) (68.5). AH requires an incision of the abdominal wall, separation of the bladder, and treatment of blood vessels and ligaments before a hysterectomy. TLH used a four-hole method of abdominal distension, a puncture cannula, and an insertion scope to remove the uterus under laparoscopy. VH is the removal of the uterus through the vagina, with the incision located at the top of the vaginal vault, leaving no wound in the abdomen. This study was approved by the Ethics Committee of Xiangyang No. 1 People's Hospital, Hubei University of Medicine (2022KY058). In accordance with the Declaration of Helsinki, all patients provided written or oral informed consent prior to enrollment.
Case inclusion criteria included a clinical diagnosis of benign uterine diseases, the main surgical approaches of AH, TLH, or VH, the absence of surgical contraindications, normal cognition, and the completeness of clinical records. Excluded criteria included female patients with ICD-9-CM diagnosis codes for primary or secondary malignant diseases (140–208), complicated by important organ dysfunction, comorbid mental illness, severe respiratory diseases, missing clinical data, non-cooperation, or involuntary participation in this study. We subclassified subtotal AH, TLH, and VH according to the type of adjoint surgery performed at the time of hysterectomy, specifically bilateral salpingectomy (BS) and bilateral salpingo-oophorectomy (BSO). Clinical data such as operative bleeding, duration of surgery, length of hospital stays, surgery cost, and uterine volume were also collected.
Statistical analyses were performed using SPSS 22.0; P < 0.05 was considered statistically significant.
Case inclusion criteria included a clinical diagnosis of benign uterine diseases, the main surgical approaches of AH, TLH, or VH, the absence of surgical contraindications, normal cognition, and the completeness of clinical records. Excluded criteria included female patients with ICD-9-CM diagnosis codes for primary or secondary malignant diseases (140–208), complicated by important organ dysfunction, comorbid mental illness, severe respiratory diseases, missing clinical data, non-cooperation, or involuntary participation in this study. We subclassified subtotal AH, TLH, and VH according to the type of adjoint surgery performed at the time of hysterectomy, specifically bilateral salpingectomy (BS) and bilateral salpingo-oophorectomy (BSO). Clinical data such as operative bleeding, duration of surgery, length of hospital stays, surgery cost, and uterine volume were also collected.
Statistical analyses were performed using SPSS 22.0; P < 0.05 was considered statistically significant.
Free full text: Click here
