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Results of eVALuate study of hysterectomy techniques: Authors' reply

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. …