Table 3.
‘T-score’ preoperative assessment for minimally invasive approach to hysterectomy
Points | BMI | Uterine size (cm) | Abdominal surgeries | Vaginal parity | Cardiopulmonary reserve |
---|---|---|---|---|---|
0 | ≤30 | ≤10 | None | Prior vaginal birth(s) | No significant medical co-morbidities |
1 | 31–44 | 11–13 | LTC/S only and/or LSC | No prior vaginal births | Mild-to-moderate medical co-morbidities (eg, mild hypertension) |
2 | ≥45 | >13 | Midlline vertical or other exploratory | C/S only | Significant co-morbities (eg, history of cardiac arrest, severe hypertension, aortic stenosis, pulmonary fibrosis, etc) |
BMI, body mass index; C/S, cesarean section; LSC, laparoscopy; LTC/S, low transverse cesarean section, The T score (Tewari score) is calculated by adding the points for the five components listed in the table.