Possible complications

Possible complications of hysterectomy

Hysterectomy is major surgery with well established risks. The good news is that complications are getting less frequent compared to years ago. For instance, a recently published multi-centre randomized trial from the UK found the following complication rates for the different routes of hysterectomy:

	Adbominal versus laparoscopic	Vaginal versus laparoscopic
	Abdominal hysterectomy	Laparoscopic hysterectomy	Vaginal hysterectomy	Laparoscopic hysterectomy
Major haemorrhage Bowel injury Ureteric injury Bladder injury Pulmonary embolus Anaesthetic problems Unintended laparotomy Wound dehiscence Haematoma (bruise) Other complications TOTAL RATE OF MAJOR COMPLICATIONS	2.4% 1% 0 1% 0.7% 0 0.6% 0.3% 0.7% 0 6.2%	4.6% 0.2% 0.9% 2.1% 0.2% 0.9% 4.4% 0.2% 0.7% 0 11.1%	2.9% 0 0 1.2% 0 0 4.2% 0 1.2% 0.6% 9.5%	5.1% 0 0.3% 0.9% 0.6% 0.6% 3.0% 0.3% 2.1% 0 9.8%

Adbominal versus laparoscopic

Vaginal versus laparoscopic

Abdominal hysterectomy

Laparoscopic hysterectomy

Vaginal hysterectomy

Laparoscopic hysterectomy

Major haemorrhage
Bowel injury
Ureteric injury
Bladder injury
Pulmonary embolus
Anaesthetic problems
Unintended laparotomy
Wound dehiscence
Haematoma (bruise)
Other complications

TOTAL RATE OF MAJOR COMPLICATIONS

2.4%
1%
0
1%
0.7%
0
0.6%
0.3%
0.7%
0

6.2%

4.6%
0.2%
0.9%
2.1%
0.2%
0.9%
4.4%
0.2%
0.7%
0

11.1%

2.9%
0
0
1.2%
0
0
4.2%
0
1.2%
0.6%

9.5%

5.1%
0
0.3%
0.9%
0.6%
0.6%
3.0%
0.3%
2.1%
0

9.8%

In addition to the above major complications, this study also showed that about 1 in 4 women will experience a minor complication during or after their surgery (e.g. fever, infection, deep vein thrombosis), To some extent, these risks can be reduced by the use of prophylactic antibiotics and anti-coagulants (drugs used to "thin" the blood to make it clot less easily).

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Possible complications of hysterectomy