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Comment & Response
December 27, 2016

Abdominal vs Minimally Invasive Hysterectomy—Reply

Author Affiliations
  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York
  • 2Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York
JAMA. 2016;316(24):2677-2678. doi:10.1001/jama.2016.17830

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.

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