Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: A cohort analysis to define a case-mix variable

E.M. Sandberg, S.R.C. Driessen, E.A.T. Bak, N. van Geloven, J.P. Berger, M.J.G.H. Smeets, J.P.T. Rhemrev, Frank Willem Jansen

Research output: Contribution to journalArticleScientificpeer-review

13 Downloads (Pure)

Abstract

Background: Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences surgical outcomes of LH and to determine if it should be considered as case-mix variable. Results: A total of 2655 LH’s were analyzed, of which 397 (15.0%) with concomitant endometriosis. For blood loss and operative time, no measurable association was found for stages I (n = 106) and II (n = 103) endometriosis compared to LH without endometriosis. LH with stages III (n = 93) and IV (n = 95) endometriosis were associated with more intra-operative blood loss (p = <.001) and a prolonged operative time (p = <.001) compared to LH without endometriosis. No significant association was found between endometriosis (all stages) and complications (p =.62). Conclusions: The findings of our study have provided numeric support for the influence of concomitant endometriosis on surgical outcomes of LH, without bowel or bladder dissection. Only stages III and IV were associated with a longer operative time and more blood loss and should thus be considered as case-mix variables in future quality measurement tools.

Original languageEnglish
Article number8
Number of pages9
JournalGynecological Surgery
Volume15
Issue number1
DOIs
Publication statusPublished - 2018

Keywords

  • Case-mix correction
  • Concomitant endometriosis
  • Laparoscopic hysterectomy
  • Surgical outcome measures

Fingerprint Dive into the research topics of 'Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: A cohort analysis to define a case-mix variable'. Together they form a unique fingerprint.

  • Cite this