Complications of Hysterectomy

  title={Complications of Hysterectomy},
  author={Daniel L. Clarke‐Pearson and Elizabeth J. Geller},
  journal={Obstetrics \& Gynecology},
Hysterectomy is the most common gynecologic procedure performed in the United States, with more than 600,000 procedures performed each year. Complications of hysterectomy vary based on route of surgery and surgical technique. The objective of this article is to review risk factors associated with specific types of complications associated with benign hysterectomy, methods to prevent and recognize complications, and appropriate management of complications. The most common complications of… 
Anatomical complications of hysterectomy: A review
Surgeons who perform hysterectomies or are involved with postoperative hySterectomy patients should be familiar with the possible complications of this common procedure and the steps that can be taken to help reduce the risk of those complications.
Postoperative infections in women undergoing hysterectomy for benign indications: a cohort study.
It is hypothesize that vaginal hysterectomy has lower rates of postoperative infection than laparoscopic and abdominal hySterectomies, and demographic and operative variables were more likely to serve as independent predictors of development of infection than hystrectomy route.
Failure to rescue after major gynecologic surgery.
A Review of Laparoscopic Salpingo-Oophorectomy: Technique and Perioperative Considerations.
Safely Increase the Minimally Invasive Hysterectomy Rate: A Novel Three-Tiered Preoperative Categorization System Can Predict the Difficulty for Benign Disease.
An increase in the hysterectomy category was statistically significantly associated with longer surgery times and a higher percentage of laparotomy, and with the most experienced assistants, the MIH rate was 98%, compared with surgeons' and assistants' experience.
Nerve-Sparing Modified Radical Hysterectomy for Severe Endometriosis and Complex Pelvic Pathology
Laroscopic nerve-sparing modified radical hysterectomy with and without robotic-assistance with a high-volume minimally invasive endoscopic surgeon is a safe and feasible alternative that provides long-term symptom relief in patients undergoing hystEREctomy for a variety of indications.
Complication rates and effectiveness of uterine artery embolization in the treatment of symptomatic leiomyomas: a systematic review and meta-analysis.
Symptomatic uterine leiomyoma treatment by UAE is an effective procedure with a low rate of major complications supporting its use as an alternative to hysterectomy, and reintervention rates with follow-up ranging from 0.25 to 5 years.


Morbidity of 10 110 hysterectomies by type of approach.
This large-scale observational study on hysterectomies provides novel information on operation-related morbidity of abdominal, vaginal or laparoscopic approach and supports the importance of the experience of the surgeon in reducing severe complications, especially in Laparoscopic and vaginal hysteretomies.
Nationwide Use of Laparoscopic Hysterectomy Compared With Abdominal and Vaginal Approaches
In addition to age and clinical diagnosis, nonclinical factors such as race/ethnicity, insurance status, income, and region appear to affect use of laparoscopic hysterectomy compared with abdominal hystEREctomy and vaginal hysteretomy.
Hysterectomy Rates in the United States, 2003
Despite a shorter length of stay, vaginal and laparoscopic hysterectomies remain far less common than abdominal hystEREctomy for benign disease.
Transvaginal evisceration after hysterectomy: is vaginal cuff closure associated with a reduced risk?
Urinary tract injury in pelvic surgery.
The incidence of both overt and occult urinary tract injury in pelvic surgery is discussed, and pertinent anatomy in relation to prevention strategies is reviewed.
Vaginal Cuff Dehiscence in a Series of 12,398 Hysterectomies: Effect of Different Types of Colpotomy and Vaginal Closure
Transvaginal suturing appears to reduce the risk of vaginal dehiscence after total laparoscopic hysterectomy and methods of cuff closure, and use of monopolar energy at the time of colpotomy and reducing the power of monop solar energy from 60 watts to 50 watts when colpotsomy was performed did not alter the rate of cuff separations.
Prophylactic ureteral catheterization in gynecologic surgery.
Thromboembolism Complicating Surgery for Cervical and Uterine Malignancy: Incidence, Risk Factors, and Prophylaxis
Low-dose heparin therapy and the use of anti-embolism stockings as preventative measures did not appear to reduce the incidence of thromboembolic complications, and a prospective study will be necessary to evaluate definitely the effectiveness of various therapeutic modalities on thrombologists in gynecologic oncology patients.
Vaginal cuff closure after minimally invasive hysterectomy: our experience and systematic review of the literature.