{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:25:25Z","timestamp":1771550725906,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,13]],"date-time":"2019-01-13T00:00:00Z","timestamp":1547337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002641","name":"Konkuk University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002641","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the 30\u2010day morbidity rate after hysterectomy for benign disease and identify predictors of 30\u2010day morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted among women undergoing hysterectomy for benign indications between January 1, 2010, and December 31, 2015, at Konkuk University Hospital, South Korea. Multivariable regression analysis identified independent factors for morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1609 women were included. 30\u2010day morbidity rates were 4.5% (n=72) for the whole cohort: 7.5% (28\/371), 3.2% (22\/686), and 4.0% (22\/552) for abdominal hysterectomy, laparoscopic\u2010assisted vaginal hysterectomy (LAVH), and vaginal hysterectomy, respectively. The most common 30\u2010day postoperative morbidities were urinary complications (1.2%, 20\/1609), wound infection (0.9%, 14\/1609), and blood transfusion more than 4\u00a0units (0.7%, 11\/1609). In multivariate regression analysis, Charlson comorbidity index of 2 or more, operative time, and estimated blood loss were independently associated with morbidity. Propensity score\u2010matching indicated no difference in morbidity rates for the abdominal hysterectomy and LAVH or vaginal hysterectomy groups (<jats:italic>P<\/jats:italic>=0.351), whereas the LAVH or vaginal hysterectomy groups were more strongly associated with operation time, estimated blood loss, and length of postoperative hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Comorbidity index, operative time, and blood loss were independently associated with morbidity following hysterectomy. These findings supported the preoperative optimization of comorbidities and the appropriate selection of surgical approaches.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12752","type":"journal-article","created":{"date-parts":[[2018,12,22]],"date-time":"2018-12-22T15:44:24Z","timestamp":1545493464000},"page":"302-308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictors of 30\u2010day morbidity after hysterectomy for benign disease"],"prefix":"10.1002","volume":"144","author":[{"given":"Seung\u2010Hyuk","family":"Shim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung\u2010Hwa","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Eun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun\u2010Joo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo\u2010Nyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soon\u2010Beom","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Research Institute of Medical Science Konkuk University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2017.28.e5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01921.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199511000-00019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000109219.24211.30"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31826b4c4f"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200209000-00011"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.08.011"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e318263a210"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199810000-00006"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.10.003"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.261"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2001.tb01231.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.08.047"},{"issue":"8","key":"e_1_2_8_16_1","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","author":"Aarts JW","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.04.003"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.12.104"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.12.006"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.09.083"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112000254"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2011.08.027"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000115843"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOH.0000000000000376"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/10543400601044691"}],"container-title":["International Journal of Gynecology &amp; 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