A value-based evaluation of minimally invasive hysterectomy approaches

Table 5 Most common complications

Complications^a,b (%)	LRH	LSH	RALH	TLH	LAVH	TVH	Total
Intraoperative
EBL > 1000 mL	1 (.13)	7 (1.5)	2 (.34)	2 (.55)	6 (1.5)	2 (1.65)	20 (.74)
Cystotomy	2 (.26)	3 (.63)	3 (.52)	2 (.55)	4 (.99)	3 (2.48)	17 (.63)
Ureteral injury	2 (.26)	0 (0.0)	5 (.86)	0 (0.0)	3 (.74)	1 (.83)	11 (.41)
Enterotomy	0 (0.0)	0 (0.0)	2 (.34)	2 (.55)	5 (1.24)	1 (.83)	10 (.37)
Urethral injury	0 (0.0)	1 (.21)	1 (.17)	0 (0.0)	0 (0.0)	0 (0.0)	2 (.074)
Blood transfusion	1 (.13)	0 (0.0)	0 (0.0)	0 (0.0)	1 (.25)	0 (0.0)	2 (.074)
Iliac vein injury	1 (.13)	0 (0.0)	0 (0.0)	1 (.28)	0 (0.0)	0 (0.0)	2 (.074)
Rectal injury	1 (.13)	0 (0.0)	1 (.17)	0 (0.0)	0 (0.0)	0 (0.0)	2 (.074)
Postoperative
Vaginal cuff dehiscence	4 (.53)	0 (0.0)	3 (.52)	4 (1.1)	1 (.25)	0 (0.0)	12 (.45)
Pelvic infection/abcess	4 (.53)	4 (.84)	19 (3.2)	1 (.28)	2 (.50)	0 (0.0)	30 (1.1)
Pulmonary embolus	1 (.13)	1 (.21)	0 (0.0)	0 (0.0)	1 (.25)	0 (0.0)	3 (.11)
Bacteremia	0 (0.0)	0 (0.0)	2 (.34)	0 (0.0)	0 (0.0)	0 (0.0)	2 (.074)
DVT	1 (.13)	0 (0.0)	0 (0.0)	1 (.28)	0 (0.0)	0 (0.0)	2 (.074)
Cuff cellulitis	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	2 (.50)	0 (0.0)	2 (.074)
Blood transfusion	0 (0.0)	0 (0.0)	1 (.17)	0 (0.0)	1 (.25)	0 (0.0)	2 (.074)
Total cases	756	471	576	361	404	121	2689

LRH laparoscopic retroperitoneal hysterectomy, LSH laparoscopic supracervical hysterectomy, RALH robotically assisted laparoscopic hysterectomy, TLH total laparoscopic hysterectomy, LAVH laparoscopically assisted vaginal hysterectomy, TVH total vaginal hysterectomy, EBL estimated blood loss, DVT deep vein thrombosis
^aOnly the most common complications reported here
^bIncludes multiple complications as dictated in operative notes, but counted as one event in statistical analysis to avoid double counting