{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T10:37:25Z","timestamp":1792838245200,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":101,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimally invasive hysterectomy has increasingly replaced AH for benign gynecologic disease. This multicenter study evaluated perioperative and short\u2010term outcomes associated with laparoscopic versus AH for benign gynecologic disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter retrospective cohort study was conducted across three tertiary institutions in Pakistan from 2019 to 2024. Adult women undergoing elective hysterectomy for benign indications were included. Multivariable regression models adjusted for baseline covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 400 patients were included (laparoscopic\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009200; abdominal\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009200). Laparoscopic hysterectomy was associated with lower estimated blood loss, fewer postoperative complications, and shorter hospital stay, although operative duration was longer. After multivariable adjustment, AH remained independently associated with increased odds of postoperative complications and prolonged hospitalization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this multicenter cohort, laparoscopic hysterectomy was associated with improved perioperative outcomes and shorter hospitalization compared with AH. Prospective studies are warranted to further define comparative effectiveness across diverse healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70289","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:44:42Z","timestamp":1776059082000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Perioperative Outcomes of Laparoscopic and\n                    <scp>AH<\/scp>\n                    for Benign Gynecological Disease: A Multicenter Retrospective Cohort Study"],"prefix":"10.1111","volume":"19","author":[{"given":"Areeba","family":"Ayub","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ayub Teaching Hospital  Abbottabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadia","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Frimley Park Hospital  Camberley UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadia","family":"Firdous","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medway Maritime Hospital  Kent UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Sarwar","sequence":"additional","affiliation":[{"name":"Department of Gynecology King Edward Medical University, Mayo Hospital  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulfat","family":"Naseem","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Dar Al Shifa Medical Center  Dammam Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mubeen Ahmad","family":"Danial","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Hina Hospital  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7045-8965","authenticated-orcid":false,"given":"Lima","family":"Dalil","sequence":"additional","affiliation":[{"name":"Kabul Medical University  Kabul Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318299a6cf"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003677.pub2"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-096265"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0784-4"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol32120655"},{"issue":"6","key":"e_1_2_13_7_1","first-page":"E100\u201015","article-title":"Management of Symptomatic Uterine Leiomyomas ACOG Practice Bulletin, Number 228","volume":"137","author":"Stewart E. A.","year":"2021","journal-title":"Obstetrics and Gynecology"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogrm.2017.01.012"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2025.06.024"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.12.020"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.31083\/j.ceog4904088"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14030265"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2025.11.002"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_13_15_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2023"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145482X221150592"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005607"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/989127"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.08.578"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2019-000356"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3442-0"},{"key":"e_1_2_13_22_1","unstructured":"A.Chrysostomou\u201cThe Preferred Route of Hysterectomy in Women Without Utero\u2010Vaginal Prolapse in a Poorly Resourced Setting \u201c(Doctoral diss. University of the Witwatersrand Johannesburg (South Africa))."},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609065742"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0000000000000939"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/gmit.gmit_72_23"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/gmit.gmit_30_23"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005434"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3126\/nje.v15i4.88662"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-025-01795-2"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2025-225288"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.70028"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.70122"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-070218"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.4103\/GMIT.GMIT_116_19"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.53685\/jshmdc.v4i1.113"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07644-9"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70289","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70289","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70289","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T09:52:46Z","timestamp":1792835566000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70289"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70289"],"URL":"https:\/\/doi.org\/10.1111\/ases.70289","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70289"}}