Results of eVALuate study of hysterectomy techniques: Authors' reply

BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7440.643-a (Published 11 March 2004) Cite this as: BMJ 2004;328:643
  1. Ray Garry, professor of gynaecology (RGarry@obsgyn.uwa.edu.au),
  2. Jeremy Hawe, consultant gynaecologist
  1. On behalf of the eVALuate study group University of Western Australia, Department of Obstetrics and Gynaecology, King Edward Memorial Hospital, Subiaco, Perth, WA 6008, Australia

    EDITOR—Given the pre-eminent role of gynaecologists in developing both operative laparoscopy and randomised trials, we were astonished that we might need a gastrointestinal surgeon in our team. Many of our team were, however, intuitively empathetic with Atkinson's concern that preoperative conversion should not be considered a major complication. To exclude patients who did not receive the planned treatment would alter the complication rates and represent a post-randomisation selection bias in favour of laparoscopic hysterectomy. …

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