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Editorial comment
Gynecologic Surgeryreceived a letter pointing to potential errors in the paper from Wiser et al., previously published in the journal [1]. They reported on a retrospective cohort study using the data from the Health Cost and Utilization Project Nationwide Inpatient Sample including data on 465,798 women who were admitted for hysterectomy for benign dis-eases between the years 2002 and 2008. Of the women ad-mitted, 389,189 (83.6 %) underwent abdominal hysterectomy (AH) and the remainder underwent laparoscopic hysterecto-my (LH; 76,609, 16.4%).In-hospitalmorbidities and mortal-ities were identified using the diagnostic and procedural codes classified according to the International Classification of Dis-ease, Ninth Revision, and Clinical Modification. Multivari-able logistic regression analysis was used to estimate the relationship between the type of hysterectomy and the devel-opment of major morbidity and mortality. The data showed that women who underwent LH were less likely to develop thromboembolic events (0.69 vs. 0.84 %, adjusted odds ratio (aOR) 0.85 (0.77–0.93)), to require blood transfusions (2.4 vs. 4.7 %, aOR 0.58 (0.55–0.61)), or have bowel perforation (0.07 vs. 0.13 %, aOR 0.56 (0.42–0.74)). Also, the mortality rate was lower in the LH group (0.01 %) compared with the AH group (0.03 %, aOR 0.48 (0.24–0.95)). The authors concluded that“when possible”, hysterectomy for benign diseases should be performed with minimally invasive tech-nique due to the lower complication rates
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