Clinical Edge

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

Uterine Weight & Complications After Hysterectomy

Am J Obstet Gynecol; ePub 2018 Jun 27; Louie, et al

Uterine weight is an independent factor for post-hysterectomy complications, with abdominal hysterectomy having higher odds of any complication, compared to laparoscopic hysterectomy, a recent study found. Researchers sought to determine if there is an association between uterine weight and post-hysterectomy complications and if differences in that association exist among vaginal, laparoscopic, and abdominal approaches. Patients were compared with respect to 30-day postoperative complications and uterine weight, stratified by surgical approach. They found:

  • 27,167 patients were included in the analysis.
  • After adjusting for confounders, women with 500 g uteri were >30% more likely to have complications compared to those with uteri ≤100 g, women with 750 g uteri were nearly 60% as likely, and women with uteri ≥1000 g were >80% more likely.
  • The incidence of 30-day post-surgical complications was nearly double in the abdominal hysterectomy group compared to the laparoscopic group.
  • Larger hysterectomies can safely be performed laparoscopically.


Louie M, Strassle PD, Moulder JK, Dizon AM, Schiff LD, Carey ET. Uterine weight and complications after abdominal, laparoscopic, and vaginal hysterectomy. [Published online ahead of print June 27, 2018]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2018.06.015.

This Week's Must Reads

Combination model predicts imminent preeclampsia, Ciobanu A et al. Am J Obstet Gynecol. 2019 Feb 7. doi. org/10.1016/j.ajog.2019.01.235

Delayed cord clamping didn’t drop maternal hemoglobin in term cesarean deliveries, Purisch S. et al. Am J Obstet Gynecol. 2019 Jan;220(1):S37-38, Abstract 47

Dental device borrowed from sports world no help in pushing, Bergh E et al. Am J Obstet Gynecol. 2019 Jan;220(1):S39, Abstract 49

Must Reads in Gynecology

Management of Early Pregnancy Loss, Obstet Gynecol; ePub 2018 Nov; ACOG

ACOG: Well-Women Visits Can Minimize Health Risks, Obstet Gynecol; 2018 Oct; ACOG, et al

Uterine Weight & Complications After Hysterectomy, Am J Obstet Gynecol; ePub 2018 Jun 27; Louie, et al

New Persistent Opioid Use After Hysterectomy, Am J Obstet Gynecol; ePub 2018 Jun 18; Swenson, et al

Infection Prevention After Gynecologic Procedures, Obstet Gynecol; ePub 2018 Jun; Soper, Chelmow, et al