Open Access

Erratum to: Abdominal versus laparoscopic hysterectomies for benign diseases: evaluation of morbidity and mortality among 465,798 cases

  • Amir Wiser1,
  • Christina A. Holcroft1,
  • Togas Tulandi1, 2Email author and
  • Haim A. Abenhaim1
Gynecological SurgeryEndoscopic Imaging and Allied Techniques201411:859

https://doi.org/10.1007/s10397-014-0859-z

Published: 25 September 2014

The original article was published in Gynecological Surgery 2013 10:781

Erratum to: Gynecol Surg

DOI 10.1007/s10397-013-0781-9

On page 117, the “Abstract” should read:

Hysterectomy is the most common major gynecological surgery performed in women. The aim of this study was to compare major morbidity and mortality between abdominal hysterectomy (AH) and laparoscopic hysterectomy (LH) for benign diseases. We performed a retrospective cohort study using the data from Health Cost and Utilization Project Nationwide Inpatient Sample. Women were admitted for hysterectomy for benign diseases between the years 2002 and 2008. In-hospital morbidities and mortalities were identified using the diagnostic and procedural codes classified according to the International Classification of Disease, Ninth Revision, and Clinical Modification. Logistic regression analysis was used to estimate the relationship between the type of hysterectomy and the development of major morbidity and mortality. Of a total 465,798 cases, 389,189 women (83.6 %) underwent AH and the remainders underwent LH (76,609,16.4 %). The LH group was younger and more likely to be Caucasian than those who underwent AH. Although major morbidities and mortalities were rare, women who underwent LH were less likely to develop thromboembolic events (0.69 % vs. 0.84 %, odds ratio (OR) 0.85 (0.77–0.93)), require blood transfusions (2.4 % vs. 4.7 %, OR 0.58 (0.55–0.61)), and sustain bowel perforation (0.07 % vs. 0.13 %, OR 0.56 (0.42–0.74)). The mortality rate was also lower in the LH group (0.01 %) compared with the AH group (0.03 %, OR 0.48 (0.24–0.95)). Our conclusion was that for benign diseases, laparoscopic hysterectomy is associated with a lower complication rate than abdominal hysterectomy. When possible, hysterectomy performed for benign diseases should be performed with minimally invasive technique.

On page 119, the last paragraph of the result section should read:

The mode of hysterectomy and the risks of major mortality and morbidity rates are listed in Table 2. Overall, the rates of complications were very low. Even so, the patients who underwent LH had lower morbidity (deep vein thrombosis, pulmonary embolism, and requirement for blood transfusion) as well as less mortality compared to women in the AH group. (The last line was removed).

Table 1 and 2 should read
Table 1

Baseline characteristics of 465,798 patients who underwent laparoscopic vs. abdominal hysterectomies for benign disease

characteristic

Open TAH (n = 389,189)

Laparoscopy (n = 76,609)

Age

 <35

29,792 (8 %)

8,107 (11 %)

 35–39

56,658 (15 %)

12,295 (16 %)

 40–44

106,817 (27 %)

19,256 (25 %)

 45–49

110,282 (28 %)

20,301 (27 %)

 ≥50

85,399 (22 %)

16,606 (22 %)

Race

 Caucasian

170,001 (44 %)

43,174 (56 %)

 African-American

62,291 (16 %)

5,963 (8 %)

 Hispanic

31,295 (8 %)

4,569 (6 %)

 Other

17,100 (4 %)

2,627 (3 %)

 Unknown

108,492 (28 %)

20,276 (26 %)

Median income (US$)

 <35,000

95,202 (24 %)

15,921 (21 %)

 35,000–44,999

97,967 (25 %)

19,278 (25 %)

 ≥45,000

187,998 (48 %)

39,707 (52 %)

Insurance type

 Medicare

21,399 (6 %)

3,668 (5 %)

 Medicaid

34,267 (9 %)

5,207 (7 %)

 Private

304,072 (78 %)

63,140 (82 %)

 Other

28,726 (7 %)

4,456 (6 %)

Hospital

 Rural

50,239 (13 %)

10,455 (14 %)

 Urban, non-teaching

177,299 (46 %)

36,546 (48 %)

 Urban, teaching

161,324 (41 %)

29,570 (39 %)

Admission

 Elective

338,668 (87 %)

68 361(89 %)

 Non-elective

48 453(12 %)

7,898 (10 %)

Comorbidities a

 Congestive heart failure

1,539 (0.4 %)

125 (0.2 %)

 Chronic pulmonary disease

26,585 (7 %)

5,100 (7 %)

 Diabetes (complicated or uncomplicated)

21,998 (6 %)

3,159 (4 %)

 Hypertension (complicated or uncomplicated

79,065 (20 %)

12,028 (16 %)

 Lymphoma

265 (0.07 %)

40 (0.05 %)

 Peripheral vascular disorder

499 (0.1 %)

68 (0.09 %)

aMissing comorbidity data in 5,324 records

Table 2

Effect of hysterectomy approach on the risk of major morbidities and mortality

Outcome

Abdominal hysterectomy

Laparoscopic hysterectomy

Adjusted OR (95 % CI)

P value

DVT

2,879 (0.74 %)

502 (0.66 %)

0.91(0.82, 0.99)

0.04

PE

3,099 (0.80 %)

522 (0.68 %)

0.88(0.80, 0.96)

0.006

DVT or PE

3,281 (0.84 %)

529 (0.69 %)

0.85(0.77, 0.93)

0.0004

Blood transfusion

18,124 (4.7 %)

1,805 (2.4 %)

0.58(0.55, 0.61)

<0.0001

Bowel perforation

490 (0.13 %)

52 (0.07 %)

0.56 (0.42, 0.74)

<0.0001

Bladder injury

17 (<0.01 %)

0 (0 %)

N/A

N/A

Acute myocardial infarction

133 (0.03 %)

13 (0.02 %)

0.69(0.39, 1.2)

0.2

Length of stay >6 days

15,917 (4.1 %)

804 (1.1 %)

0.29 (0.27,0.31)

<0.0001

Death

123 (0.03 %)

9 (0.01 %)

0.48(0.24, 0.95)

0.036

DVT deep vein thrombosis, PE pulmonary embolism, MI myocardial infarction

Notes

Authors’ Affiliations

(1)
Department of Obstetrics and Gynecology, McGill University
(2)
Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital

Copyright

© Springer-Verlag Berlin Heidelberg 2014

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