Risk of conversion from laparoscopic to open hysterectomy in benign disease - Evidencio
Risk of conversion from laparoscopic to open hysterectomy in benign disease (information about adhesions known)
In women undergoing a laparoscopic hysterectomy for benign disease this calculator can be used to individualize the risk that the procedure is converted to an open hysterectomy. 

It has been developed and validated using a national database. It was developed in data from 24,806 women under going laparoscopic hysterectomy from 2011-2016. It has been validated temporally in the same regions using data from 2017-2018, geographically in the same time-period using data from 3 different regions and temporally and geographically using 2017-18 data in 3 different regions.

There is a separate model available for use when information about the presence of intra-abdominal adhesions is unknown. This model is available here.
Research authors: Krupa Madhvani, Borja M Fernandez-Felix, Javier Zamora, Tyrone Carpenter, Khalid S Khan
Version: 1.38
  • Public
  • Gynaecology
  • Logistic regression
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Age

18
100
years

Ethnicity

Obesity

Diabetes

Fibroids

Menstrual disorders

Endometriosis and pain

Adenomyosis

Benign adnexal mass

Other gynaecological diagnoses

Adhesions

This risk of conversion from laparoscopic to open hysterectomy is ...

Set all parameters to calculate prediction.

From 2011 to 2018 6% (95% CI 5.9-6.2%) of laparoscopic hysterectomies done for benign disease were converted to open procedures

This algorithm is provided for educational, training and information purposes. It must not be used to support medical decision making, or to provide medical or diagnostic services. Read our full disclaimer.

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