Evidence map›Paper›PMID 33938997›Full record

ArticleArchives of gynecology and obstetrics2021

Incidence of and risk factors for vaginal cuff dehiscence following total laparoscopic hysterectomy: a monocentric hospital analysis.

Julia Caroline Radosa, Marc Philipp Radosa, Julia Sarah Maria Zimmermann, Eva-Marie Braun, Sebastian Findeklee, Annette Wieczorek, Lisa Stotz, Amr Hamza, Ferenc Zoltan Takacs, Uda Mareke Risius and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Julia Caroline RadosaDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany. Julia.radosa@uks.eu.ORCID http://orcid.org/0000-0003-2024-2907
Marc Philipp RadosaDepartment of Gynecology and Obstetrics, Klinikum Bremen-Nord, Bremen, Germany.
Julia Sarah Maria ZimmermannDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Eva-Marie BraunDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Sebastian FindekleeDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Annette WieczorekDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Lisa StotzDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Amr HamzaDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Ferenc Zoltan TakacsDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Uda Mareke RisiusDepartment of Business and Psychology, University of Applied Sciences Europe, Berlin, Germany.
Christoph GerlingerDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Christoph Georg RadosaDepartment of Radiology, Dresden University Hospital, Dresden, Germany.
Stefan WagenpfeilInstitute of Medical Biometry, Epidemiology and Medical Informatics, Saarland University Hospital, Homburg, Saar, Germany.
Erich-Franz SolomayerDepartment of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
Saarland University · DEKlinikum Bremen-Mitte · DEUniversity of Applied Sciences Europe · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVaginal cuff dehiscence (VCD) is one of the major surgical complications following hysterectomy with data on incidence rates varying largely and studies assessing risk factors being sparse with contradictive results. The aim of this study was to assess the incidence rate of and risk factors for VCD in a homogenous cohort of women treated for benign uterine pathologies via total laparoscopic hysterectomy (TLH) with standardized follow-up.

methodsAll patients undergoing TLH at the Department of Gynecology and Obstetrics, Saarland University Hospital between November 2010 and February 2019 were retrospectively identified from a prospectively maintained service database.

resultsVCD occurred in 18 (2.9%) of 617 patients included. In univariate and multivariate analyses, a lower level of surgeon laparoscopic expertise (odds ratio 3.19, 95% confidence interval (CI) 1.0-9.38; p = 0.03) and lower weight of removed uterus (odds ratio 0.99, 95% CI 0.98-0.99; p = 0.02) were associated positively with the risk of VCD.

conclusionIn this homogenous cohort undergoing TLH, laparoscopic expertise and uterine weight influenced the risk of postoperative VCD. These findings might help to further reduce the rate of this complication.

Indexed as

FemaleGermanyHospitalsHumansHysterectomyHysterectomy, VaginalIncidenceLaparoscopyPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical Wound DehiscenceComplicationGynecologic surgeryLaparoscopic surgeryRisk factorsTotal laparoscopic hysterectomyVaginal cuff dehiscence

Identifiers

PMID33938997
PMCPMC8277650
OpenAlexW3157297383

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.