Complication Rates for Abdominal Hysterectomy Using Minilaparotomy Technique

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Objective The purpose of this paper is to define the complication rates of hysterectomy using a minilaparotomy technique. Methods The hospital and outpatient records of 228 patients who underwent hysterectomy using a minimally invasive abdominal technique were reviewed. The complication rates from hysterectomy were compared to those from the Collaborative Review of Sterilization, published in 1982. Results The average length of stay was 1.9 days. Significant morbidity occurred in 6.6% of patients. The rate of wound infection/hematoma was 3.5%. The rate of pelvic infection was 0.4%. The rate of unintended major surgical procedures was 1.3%. There was a statistically significant decrease in operative site infection, nonoperative site infection, and rate of transfusion when the current study was compared to the Collaborative Review of Sterilization. Early postoperative fever as an indicator of postoperative infection showed a positive predictive value of 4.7% and a negative predictive value of 95.1%. Conclusion The complication rates of hysterectomy were lower in this study than those from the Collaborative Review of Sterilization. Commonly used definitions for febrile morbidity were inapplicable because of reduction in hospital stay. The presence of early postoperative fever was a poor indicator for development of postoperative infection.