Evidence map›Paper›PMID 41094630›Full record

ArticleBMC women's health2025

Association between operative time and short-term postoperative complications following minimally invasive surgery for stage III-IV endometriosis.

Yael Yagur, Rebecca Schneyer, Kacey Hamilton, Ogechukwu Ezike, Katharine Ciesielski, Margot Barker, Camelita Thrift, Kasey Fitzsimmons, Gabriel Levin, Kelly Wright and 2 more

Abstract read
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In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Yael YagurGynecology Division, Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel. yaelyagur@gmail.com.
Rebecca SchneyerDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Kacey HamiltonDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Ogechukwu EzikeDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Katharine CiesielskiDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Margot BarkerDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Camelita ThriftDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Kasey FitzsimmonsDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Gabriel LevinDivision of Gynecologic Oncology, Jewish General Hospital, McGill University, Quebec, Canada.
Kelly WrightDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Matthew SiedhoffDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Raanan MeyerDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the association between operative time and short-term postoperative complications in patients undergoing surgery for stage III-IV endometriosis.

methodsThis retrospective cohort study was conducted at a quaternary care institution in the United States. We included patients aged 18-51 years with pathology-confirmed stage III-IV endometriosis who underwent minimally invasive surgery for endometriosis between 2013 and 2023. We analyzed the association between operative time and short-term postoperative complications, as well as between operative time and overnight admission. Operative time was assessed both by percentile thresholds (50th: 149 min, 75th: 206 min, 90th: 280 min) and in 60-minute increments. The primary outcome was the occurrence of any short-term postoperative complication relative to operative time.

resultsA total of 583 patients were included. At the 50th percentile threshold, longer operative times were associated with a higher rate of intraoperative complications (10.6% vs. 7.9%, p = .038). However, postoperative complication rates did not significantly differ across the 50th, 75th, or 90th percentile thresholds. In multivariable regression analysis, operative time longer than the median, 90th percentile, or any additional 60 min of operation were not associated with postoperative complications, while operative time > 75th percentile was associated with a potential reduction in postoperative complications (adjusted odds ratio [aOR] 0.44, 95% confidence interval [CI] 0.20-0.94). The risk of overnight admission was independently associated with each operative time threshold. Each additional hour of operative time was associated with a 64% increased likelihood of overnight admission.

conclusionsAmong patients undergoing minimally invasive surgery for stage III-IV endometriosis, longer operative times were not associated with increased short-term postoperative complications. However, longer operative times were independently associated with a higher likelihood of overnight admission. These findings underscore the need to prioritize surgical thoroughness over speed in complex endometriosis cases.

Indexed as

EndometriosisMinimally Invasive Surgical ProceduresOperative TimePostoperative ComplicationsAdolescentAdultFemaleHumansMiddle AgedRetrospective StudiesYoung AdultAAGL classificationEndometriosisHospital length of stayOperative timeSurgical outcomes

Identifiers

PMID41094630
PMCPMC12522641

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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.