Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Prospective algorithm favors vaginal hysterectomy

Key clinical point: A decision tree algorithm increased the use of vaginal hysterectomy, and 99% of the surgeries were completed successfully.

Major finding: Based on the decision tree algorithm, 71% of patients were expected to have vaginal hysterectomies, and 82% had total vaginal hysterectomies.

Study details: The data come from 365 patients scheduled for hysterectomies at a single center.

Disclosures: The study was supported in part by the National Center for Advancing Translational Science. Dr. Schmitt had no financial conflicts to disclose. Dr. Advincula disclosed serving as a consultant for AbbVie, Baxter, ConMed, Eximis Surgical, Intuitive Surgical, and Titan Medical, and doing consultancy work and receiving royalties from Cooper Surgical.


Schmitt JJ et al. Obstet Gynecol. 2020;135:761-9. doi: 10.1097/AOG.0000000000003725; Advincula A. Obstet Gynecol. 2020;135:759-60. doi: doi: 10.1097/AOG.0000000000003814.