Comparison of different surgical approaches for hysterectomy using the modified Clavien Dindo classification

This study aimed to compare the surgical approaches for hysterectomy performed in benign indications using the modified Clavien Dindo classification. Between January 2017 and December 2020, 1040 patients' clinical records who underwent a total laparoscopic hysterectomy, abdominal hysterectomy, and vaginal hysterectomy for benign causes at Istanbul Kanuni Training and Research Hospital were retrospectively analyzed. Patients were categorized into three groups; Total Laparoscopic Hysterectomy( TLH) (Group 1), total abdominal hysterectomy (TAH) (Group 2), and vaginal hysterectomy (VH) (Group 3). The demographic and clinical characteristics of the patients were classified and evaluated according to the type of surgery.  Including; mean age, parity, body mass index, average uterine weight, history of prior abdominal surgery, hysterectomy indications, operation time, complication rates, amount of blood loss, and postoperative hospital stay. Modified  Clavien Dindo classification was used to compare the complications. Ethics committee approval was obtained from the ethics committee of Kanuni training and research hospital. Statistical analysis of data was performed using. (SPSS Inc, Chicago, Illinois).  There weren’t any differences among the three groups in terms of mean age, parity, and body mass index.VH group had the lowest complication rate 17 (5.48%),  compared to the other TLH   33 (9.42%), and  TAH  37 (9.73%), groups p<0.001). The TLH group had the longest operation duration 123±24.35 minutes, compared to the other VH 47±14.57 and TAH (96±27.64)groups. p<0.001).  The use of the Clavien Dindo classification system enabled the comparison of clinical and surgical techniques and the correct interpretation of surgical results. Recognizing and treating complications reduces morbidity and mortality.