Hysterectomy in Veterans Affairs Medical Centers

Weaver F, Frances M. Weaver, F Weaver, Hynes D, D Hynes, J M Goldberg, Goldberg JM, S Khuri, Khuri S, Daley J, J Daley, Henderson W, W Henderson
Obstetrics and gynecology · 2001 · vol. 97(6) , pp. 880–884 · doi:10.1016/s0029-7844(01)01350-3 · PMID:11384689 · W1990247056
article OA: closed CC0 ⤵ 5 in-corpus citations
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This study analyzed 1722 hysterectomies in VA hospitals from 1991-1997, finding leiomyomas as the primary indication and low complication rates comparable to national averages.

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Abstract

OBJECTIVE: To examine the indications and surgical morbidity for women veterans who underwent hysterectomies in Department of Veterans Affairs Medical Centers (VAs). METHODS: Data on hysterectomies performed in VAs from 1991 to 1997 were abstracted from a surgical quality improvement program. RESULTS: Records of 1722 women who had hysterectomies in VAs over 6 years were examined. Women were predominately white (62%) and their average age was 42.5 years. Operations included abdominal (74%), vaginal (22%), and laparoscopic-assisted (4%) methods. The most common indications for surgery included uterine leiomyomas (31%), abnormal uterine bleeding (14%), and endometriosis (11%). Indications differed by race (P <.01); nonwhite women were most likely to have surgery for leiomyoma (51%), whereas white women had hysterectomies for leiomyomas (19%), abnormal bleeding (15%), endometriosis (13%), and genital prolapse (11%). The mean postoperative stay was significantly longer for abdominal hysterectomies (4.51 days) than either vaginal or laparoscopic-assisted hysterectomies (2.92 and 2.21 days, respectively; P <.001). The overall complication rate within 30 days was 9%, and the most frequent complication was urinary tract infection (3.3%). CONCLUSION: Women who underwent hysterectomies in VAs had low complication rates, comparable to hysterectomy complication rates in the United States generally.

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Condition tags

endometriosis

MeSH descriptors

Hospitals, Veterans Hysterectomy Hysterectomy Uterine Diseases Adult Aged Analysis of Variance Chi-Square Distribution Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Hospitals, Veterans Humans Hysterectomy Leiomyoma Leiomyoma Leiomyoma Middle Aged

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License: CC0 · commercial use OK