{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:26:32Z","timestamp":1773969992851,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T00:00:00Z","timestamp":1334793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract\u2002<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To identify risk factors for complications and conversion to laparotomy in women undergoing laparoscopically assisted vaginal hysterectomy (LAVH). <jats:italic>Design.<\/jats:italic> Retrospective study. <jats:italic>Setting.<\/jats:italic> Tertiary referral hospital. <jats:italic>Population.<\/jats:italic> All 2012 consecutive women who underwent LAVH for non\u2010malignant diseases in a single institution. <jats:italic>Methods.<\/jats:italic> Retrospective study. <jats:italic>Main outcome measures.<\/jats:italic> Operative complications and conversion to laparotomy. <jats:italic>Results.<\/jats:italic> Most of the LAVHs were successful, but conversion to laparotomy was required in 97 women (4.8%) because of pelvic adhesion (<jats:italic>n<\/jats:italic>= 71), large uterine size (<jats:italic>n<\/jats:italic>= 18) or bowel injury (<jats:italic>n<\/jats:italic>= 8). There were 45 women (2.2%) with complications (bladder injury, 26; bowel injury, 9; vascular injury, 9; and ureteral injury, 1). A history of previous cesarean section (twice or more) was a significant risk factor for complications [odds ratio (OR) 3.38]. A body mass index \u226530 kg\/m<jats:sup>2<\/jats:sup> (OR 2.98), history of previous myomectomy (OR 6.19) and uterine weight \u2265500 g (OR 3.24) independently influenced the risk of conversion to laparotomy. <jats:italic>Conclusions.<\/jats:italic> Risk factors identified in this study include a history of previous cesarean section (twice or more) and myomectomy, body mass index \u226530 kg\/m<jats:sup>2<\/jats:sup> and uterine weight \u2265500 g. The findings may be useful in counseling women preoperatively about the potential complications of LAVH.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2012.01376.x","type":"journal-article","created":{"date-parts":[[2012,2,21]],"date-time":"2012-02-21T18:58:36Z","timestamp":1329850716000},"page":"620-624","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Factors associated with complications and conversion to laparotomy in women undergoing laparoscopically assisted vaginal hysterectomy"],"prefix":"10.1111","volume":"91","author":[{"given":"TAEJONG","family":"SONG","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TAE\u2010JOONG","family":"KIM","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HEESEOK","family":"KANG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YOO\u2010YOUNG","family":"LEE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CHEL HUN","family":"CHOI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JEONG\u2010WON","family":"LEE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BYOUNG\u2010GIE","family":"KIM","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DUK\u2010SOO","family":"BAE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,19]]},"reference":[{"key":"e_1_2_8_2_2","unstructured":"ReichH.Laparoscopic hysterectomy.Surg Laparosc Endosc.1992;2:85\u20138."},{"key":"e_1_2_8_3_2","doi-asserted-by":"crossref","unstructured":"KivesSL LevyBS LevineRL.Laparoscopic\u2010assisted vaginal hysterectomy: American Association of Gynecologic Laparoscopists\u2019 2000 membership survey.J Am Assoc Gynecol Laparosc.2003;10:135\u20138.","DOI":"10.1016\/S1074-3804(05)60286-1"},{"key":"e_1_2_8_4_2","unstructured":"NieboerTE JohnsonN LethabyA TavenderE CurrE GarryR et al.Surgical approach to hysterectomy for benign gynaecological disease.Cochrane Database Syst Rev.2009:CD003677."},{"key":"e_1_2_8_5_2","doi-asserted-by":"crossref","unstructured":"GadMS KhoulyNI El SotoE BrodmanM ChuangL NezhatFR et al.Differences in perioperative outcomes after laparoscopic management of benign and malignant adnexal masses.J Gynecol Oncol.2011;22:18\u201324.","DOI":"10.3802\/jgo.2011.22.1.18"},{"key":"e_1_2_8_6_2","doi-asserted-by":"crossref","unstructured":"HulkaJF LevyBS ParkerWH PhillipsJM.Laparoscopic\u2010assisted vaginal hysterectomy: American Association of Gynecologic Laparoscopists\u2019 1995 membership survey.J Am Assoc Gynecol Laparosc.1997;4:167\u201371.","DOI":"10.1016\/S1074-3804(97)80005-9"},{"key":"e_1_2_8_7_2","doi-asserted-by":"crossref","unstructured":"IkhenaSE OniM NaftalinNJ KonjeJC.The effect of the learning curve on the duration and peri\u2010operative complications of laparoscopically assisted vaginal hysterectomy.Acta Obstet Gynecol Scand.1999;78:632\u20135.","DOI":"10.1080\/j.1600-0412.1999.780712.x"},{"key":"e_1_2_8_8_2","doi-asserted-by":"crossref","unstructured":"RichardsonRE BournasN MagosAL.Is laparoscopic hysterectomy a waste of time?Lancet.1995;345:36\u201341.","DOI":"10.1016\/S0140-6736(95)91158-8"},{"key":"e_1_2_8_9_2","doi-asserted-by":"crossref","unstructured":"BoukerrouM LambaudieE CollinetP CrepinG CossonM.A history of cesareans is a risk factor in vaginal hysterectomies.Acta Obstet Gynecol Scand.2003;82:1135\u20139.","DOI":"10.1046\/j.1600-0412.2003.00247.x"},{"key":"e_1_2_8_10_2","doi-asserted-by":"crossref","unstructured":"RooneyCM CrawfordAT VassalloBJ KleemanSD KarramMM.Is previous cesarean section a risk for incidental cystotomy at the time of hysterectomy? 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