LH with endometriosis n = 397 | LH without endometriosis n = 2258 | p value | |
---|---|---|---|
Patient characteristics | |||
Age, years, mean ± SD | 43.5 ± 7.7 | 49.8 ± 11.9 | < .001 |
BMI, kg/m2, mean ± SD | 27.9 ± 5.5 | 28.6 ± 6.4 | .04 |
Uterine weight, gram, geometric mean; GSD* | 149.31 ± 1.8 | 162.5 ± 2.1 | < .001 |
Previous abdominal procedures, n (%) | < .001 | ||
None | 152 (38.3) | 1290 (57.1) | |
One | 124 (31.2) | 592 (26.2) | |
Two | 64 (16.1) | 234 (10.4) | |
> Two | 57 (14.4) | 142 (6.3) | |
Stage of endometriosis, n (%) | |||
Stage I | 106 (26.7) | – | |
Stage II | 103 (25.9) | ||
Stage III | 93 (23.4) | ||
Stage IV | 95 (23.9) | ||
Procedure type, n (%) | .03 | ||
TLH | 376 (94.7) | 2036 (90.2) | |
SLH | 13 (3.3) | 109 (4.8) | |
LAVH | 6 (1.5) | 88 (3.9) | |
Robotic | 2 (0.5) | 25 (1.1) | |
Surgical outcomes | |||
Blood loss (ml), geometric mean; GSD* | 80 ± 3.1 | 67 ± 3.4 | ɸ |
Operative time (min), geometric mean; GSD* | 94 ± 1.5 | 91 ± 1.5 | ɸ |
Complications, n (%) | 24 in 22 patients (5.5%) | 175 in 153 patients (6.8%) | ɸ |
Lesion | |||
Bladder | 3 (0.8) | 27 (1.2) | |
Ureter | 1 (0.3) | 9 (0.4) | |
Vessel | – | 1 (< 0.1) | |
Bowel | 2 (0.5) | 7 (0.3) | |
Hemorrhage | 5 (1.3) | 41 (1.8) | |
> 1000 mL intra-operative | 5 (1.3) | 13 (0.6) | |
Wound dehiscence | – | 6 (0.3) | |
Thrombosis | – | 3 (0.1) | |
Dysfunction ileus | – | 2 (0.1) | |
Infections | 1 (0.3) | 50 (2.2) | |
Dysfunction incontinence | – | 10 (0.4) | |
Other | 2 (0.5) | 11 (0.5) | |
Conversion | 10 (2.5) | 8 (0.4) | |
Severity of complications, n (%) | .16 | ||
Level A–recovery | 18 (4.5) | 113 (5.0) | |
Level B–reoperation | 3 (0.8) | 39 (1.7) | |
Level C–permanent injury | 1 (0.3) | 0 | |
Level D–death | 0 | 1 (< 0.1) |