Impact of Age on Postoperative Outcomes following Laparoscopic Hysterectomy: A NSQIP Analysis

Laparoscopic Total Hysterectomy, Laparoscopic Assisted Vaginal Hysterectomy, and Laparoscopic Supracervical Hysterectomy are all methods used to perform hysterectomies. These are amongst the most common gynecological surgeries for several different gynecological conditions including uterine leiomyomas, adenomyosis, idiopathic abnormal uterine bleeding, endometriosis, gynecological malignancies, pelvic inflammatory disease, and uterine prolapse. The purpose of this study is to investigate the impact of age on postoperative outcomes and complications following laparoscopic hysterectomies. The four age groups analyzed are <60, 61-70, 71-80, and >80. This information will allow gynecologic surgeons to use age as an independent variable to risk stratify patients undergoing laparoscopic hysterectomies. The adverse events that will be analyzed are death, cardiac arrest, stroke, sepsis, myocardial infarction, renal failure, thromboembolic events, wound-related infection, on ventilator >48 hours, unplanned intubation, renal insufficiency, return to operating room, wound dehiscence, readmission, pneumonia, urinary tract infection, and extended length of stay. This is a retrospective observational study that includes data from the National Surgical Quality Improvement Program database on all laparoscopic hysterectomies from 2007 to 2016. They will be identified by the following CPT codes: Laparoscopic Total Hysterectomy: 58570, 58571, 58572, 58573, Laparoscopic Assisted Vaginal Hysterectomy: 58550, 58552, 58553, 58554, and Laparoscopic Supracervical Hysterectomy: 58541, 58542, 58543, 58544