Irrelevance of Traditional De-Selectors for Minimally Invasive Hysterectomy
Demir RH, Marchand GJ. Section of Gynecology & Obstetrics. Arizona Regional Medical
Center, Mesa, Arizona
Objective: To assess the relevance of traditional de-selectors for Minimally Hysterectomy
(MIH), specimen weight, number of prior C-Sections and BMI, in 1125 consecutive cases
performed for benign indications.
Methods and Procedure: Retrospective Chart Review of Eleven hundred twenty-five
patients having hysterectomy for benign indications in a community hospital and private
Gynecologic Surgery practice. All patients requiring hysterectomy for benign indications
were scheduled for MIH (e.g., vaginal, total laparoscopic or laparoscopic supra-cervical)
and outcomes were analyzed.
Results: Of 1125 consecutive hysterectomies for benign indications scheduled for
Minimally Invasive Hysterectomy, 1120 (99.56%) were successfully completed. No
relationship was noted between increasing specimen weight, number of prior cesarean
sections or patient BMI and failure to complete minimally invasive hysterectomy.
Conclusions: In expert hands traditional de-selectors for Minimally Invasive
Hysterectomy, increasing specimen weight, number of C-Sections or BMI, are not related
to a higher incidence of failure. Minimally Invasive Hysterectomy should be offered to
virtually all women requiring hysterectomy for benign indications.