Regarding “Perioperative Outcomes of Total Vaginal Hysterectomy in Women with Prior Cesarean Delivery”

We read with great interest the article by Delara et al evaluating the safety of Total Vaginal Hysterectomy (TVH) for patients with prior Cesarean Section (CS)1. History of prior CS is a commonly encountered risk factor in women considering hysterectomy. When interpreting the authors ’ conclusions, context is important. The operating surgeons are all fellowship trained gynecologic subspecialists with surgical volumes likely to exceed those of specialist Ob/Gyns. Studies have consistently shown that high volume surgeons have better complication rates than low volume surgeons2.

Source: The Journal of Minimally Invasive Gynecology - March 25, 2021 Category: OBGYN Authors: Corey A. Wagner, Elizabeth Wegleitner Tags: LETTER TO THE EDITOR Source Type: research