Table 3.
Logistic Regression Analysis of Factors Associated With Dehiscence
| Crude |
Multivariate Modela |
|||
|---|---|---|---|---|
| ORb (95% CIb) | P Value | OR (95% CI) | P Value | |
| Age ≥50 y | 0.30 (0.12–0.70) | .006 | 0.28 (0.11–0.70) | .007 |
| Hysterectomy type | ||||
| Abdominal | 1.00 (reference) | 1.00 (reference) | ||
| Vaginal | 0.54 (0.06–4.65) | .58 | 1.21 (0.13–11.4) | .87 |
| Laparoscopic | 1.78 (0.62–5.15) | .29 | 23.4 (2.39–229) | .007 |
| Robotic | 5.84 (1.76–19.3) | .004 | 73.0 (6.24–854) | .0006 |
| Subtype | ||||
| Total | 1.00 (reference) | 1.00 (reference) | ||
| Radical/GIb or other major organ involvement | 2.62 (0.88–7.78) | .08 | 3.58 (0.96–13.3) | .06 |
| Colpotomy | ||||
| Cold | 1.00 (reference) | 1.00 (reference) | ||
| Monopolar | 1.84 (0.71–4.77) | .21 | 0.23 (0.02–3.54) | .29 |
| Harmonic scalpelc | 1.56 (0.46–5.37) | .48 | 0.18 (0.01–3.91) | .27 |
| Mode of closure | ||||
| Hand sewn | 1.00 (reference) | 1.00 (reference) | ||
| Laparoscopic suturing | 1.95 (0.77–4.97) | .16 | 0.82 (0.07–9.29) | .87 |
| Suturing assisted by device | 1.95 (0.64–6.01) | .24 | 1.88 (0.18–19.4) | .6 |
| Suture type | ||||
| Braided monofilament or multifilament | 1.00 (reference) | 1.00 (reference) | ||
| Barbed | 1.46 (0.57–3.75) | .43 | 1.73 (0.38–7.84) | .48 |
| Continuous closure | 0.81 (0.35–1.85) | .61 | 0.24 (0.07–0.86) | .03 |
| Any postoperative complication | 7.55 (2.50–22.8) | .0003 | 10.0 (2.97–33.9) | .0002 |
a
All variables in the table were included in the multivariate model.
b
CI = confidence interval; GI = gastrointestinal; OR = odds ratio.
c
Ethicon Endo-surgery, Cincinnati, Ohio.