From: Obesity and older age as protective factors for vaginal cuff dehiscence following total hysterectomy
Factor | Cases (n = 31) | Controls (n = 155) | Unadjusted OR (95 % CI) | p valuea |
---|---|---|---|---|
Age (years) | 45.0 ± 13.4 | 47.9 ± 12.5 | 0.98 (0.95–1.01) | 0.23 |
Body mass index (kg/m2) | ||||
<25 | 14 (45.2) | 45 (29.2) | 1.0 (referent) | |
≥25 to <30 | 10 (32.3) | 40 (26.0) | 0.81 (0.33–1.99) | 0.64 |
≥30 | 7 (22.6) | 69 (44.8) | 0.29 (0.10–0.83) | 0.02* |
Race | ||||
African-American | 6 (19.4) | 20 (12.9) | 1.69 (0.59–4.91) | 0.33 |
Parity | ||||
≥ 1 | 26 (83.9) | 119 (78.3) | 1.47 (0.50–4.30) | 0.48 |
Tobacco | 11 (35.5) | 38 (24.7) | 1.92 (0.76–4.88) | 0.17 |
Menopause | 9 (30.0) | 50 (32.5) | 0.83 (0.34–2.01) | 0.68 |
Hypertension | 8 (25.8) | 39 (25.16) | 1.03 (0.43–2.49) | 0.94 |
Diabetes | 3 (9.7) | 10 (6.5) | 1.58 (0.40–6.27) | 0.52 |
Indication for surgery | ||||
Pelvic pain | 12 (38.7) | 61 (39.4) | 0.97 (0.43–2.20) | 0.95 |
Abnormal uterine bleeding | 14 (45.2) | 70 (45.2) | 1.00 (0.45–2.24) | >0.99 |
Fibroids | 7 (22.6) | 36 (23.2) | 0.96 (0.34–2.65) | 0.93 |
Endometrial cancer | 4 (12.9) | 24 (15.5) | 0.81 (0.26–2.52) | 0.71 |
Endometriosis | 3 (9.7) | 12 (7.7) | 1.30 (0.32–5.13) | 0.71 |
Prolapse | 2 (6.5) | 8 (5.2) | 1.34 (0.22–8.05) | 0.75 |
Malignant pathology | 7 (22.6) | 32 (20.8) | 1.15 (0.42–3.16) | 0.79 |
Monopolar colpotomy | 16 (51.6) | 75 (66.4) | 1.33 (0.33–5.30) | 0.69 |
Suture for cuff closure | ||||
Polysorb | 18 (78.3) | 84 (65.6) | 2.53 (0.58–11.09) | 0.22 |
PDS | 2 (8.7) | 11 (8.6) | 0.86 (0.13–5.53) | 0.88 |
Barbed | 1 (4.4) | 8 (6.3) | 0.47 (0.04–5.68) | 0.56 |
Estimated blood loss (cc) | ||||
≥200 | 14 (45.2) | 64 (41.3) | 1.28 (0.49–3.39) | 0.62 |
Length of case (minutes) | ||||
≥120 | 11 (35.5) | 58 (37.4) | 0.91 (0.40–2.10) | 0.91 |
Uterine weight (g) | ||||
≥200 | 9 (30.0) | 37 (24.2) | 1.35 (0.55–3.27) | 0.51 |