In Reply Over the study period, the overall complication rate for hysterectomy remained relatively stable at 8.3% in 2013 compared with 8.4% in 2015, despite the fact that the rate of minimally invasive hysterectomy declined by 3.5%. As described in the article, this was due to the fact that the overall rate of complications for abdominal hysterectomy decreased from 18.6% to 17.6% whereas the complication rate for minimally invasive hysterectomy only varied from 4.4% to 4.1%. The small increase in the rate of abdominal hysterectomy was offset by improved safety of the procedure, which resulted in no statistically significant increase in overall complications for hysterectomy in general.
Wright JD, Hershman DL. Abdominal vs Minimally Invasive Hysterectomy—Reply. JAMA. 2016;316(24):2677–2678. doi:10.1001/jama.2016.17830
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