• Catherine A Matthews, Natasha Reid, Viswanathan Ramakrishnan, Kathryn Hull, and Stephen Cohen.
• Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
• Am. J. Obstet. Gynecol. 2010 Nov 1;203(5):499.e1-5.

ObjectiveWe sought to determine the differential rates and complications of hysterectomy type in the year prior to and following the introduction of robotic technology.Study DesignThis was a retrospective chart review of 461 hysterectomies performed from July 2007 through June 2008 (period 1) and July 2008 through June 2009 (period 2) at Virginia Commonwealth University Medical Center.ResultsIn all, 199 vs 262 hysterectomies were performed in periods 1 and 2: open, 52.3% vs 43.1%; laparoscopic, 18.1% vs 8.0%; robotic, 2.5% vs 24.8%; and vaginal, 27.4% vs 24.1%, respectively. The increase in robotic hysterectomies in period 2 was associated only with a decline in laparoscopic hysterectomy (P < .0001). Major morbidity by route was 23.04% open, 11/1% vaginal, 7.02% laparoscopic, and 4.29% robotic (P < .0001).ConclusionRoute of hysterectomy changed significantly after the introduction of robotic technology primarily due to a change in management of pelvic organ prolapse. Open hysterectomy was associated with significantly higher complication rates.Copyright © 2010. Published by Mosby, Inc.

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