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Comment & Response
December 27, 2016

Abdominal vs Minimally Invasive Hysterectomy

Author Affiliations
  • 1Wisconsin Fertility Institute, Middleton
  • 2University of North Carolina, Chapel Hill
JAMA. 2016;316(24):2677. doi:10.1001/jama.2016.17819

To the Editor We disagree with the analysis and conclusions of the Research Letter by Dr Wright and colleagues,1 which described hysterectomy complication rates before and after the 2014 US Food and Drug Administration (FDA) guidance regarding electric power morcellation for gynecologic surgery.

In comparing routes of hysterectomy and complication rates from 2013 through 2015, the analysis indicated that abdominal hysterectomy had a complication rate (17.6% in 2015) more than 4 times that of minimally invasive hysterectomy (4.1%). Since the 2014 FDA guidance, abdominal hysterectomy rates increased (from 27.1% in 2013 to 31.8% in 2015) and minimally invasive hysterectomy rates decreased (from 59.7% in 2013 to 56.2% in 2015).