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3% and 6.4% for prolapse. In multivariate analyses, compared to VH for non-prolapse, the risk of major complications was higher for AH [RR=1.82 (1.63-2.03)] but lower for both LH [RR=0.78 (0.68-0.9] and VH for prolapse [RR=0.55 (0.41-0.75)] . For LH, the risk of major complications reduced from a RR=0.96 (0.75-1.22) in the time period 2004-2009 to a RR=0.72 (0.60-0.87) between 2010-2015. CONCLUSION Laparoscopic hysterectomy and VH for uterine prolapse are associated with fewer major complications, but AH is associated with more major c