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All content in this area was uploaded by Greg Marchand on Apr 25, 2018
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Content uploaded by Greg Marchand
Author content
All content in this area was uploaded by Greg Marchand on Apr 25, 2018
Content may be subject to copyright.
12.313 Gynecology
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.