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01.08.2011 | General Gynecology

Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity

verfasst von: Melike Doğanay, Yasemin Yildiz, Esra Tonguc, Turgut Var, Rana Karayalcin, Ozlem Gun Eryιlmaz, Orhan Aksakal

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2011

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Abstract

Purpose

The aim of our retrospective study was to assess and to compare the surgical complications of hysterectomy regarding the choice of procedure [abdominal (AH), vaginal (VH), and total laparoscopic hysterectomy (TLH)].

Methods

A total of 6,480 patient charts undergone hysterectomy were retrospectively analyzed. Data including transfusion, bladder, ureteral and bowel injury, cuff dehiscence, pulmoner embolus, febrile morbidity, hematoma, reoperation, pelvic wall problems were gathered. The Chi-square test and Student’s t test were used in the statistical analysis.

Results

The most common perioperative complication was blood transfusion which occurred in 114 patients (2.6%). VH patients required significantly less blood transfusion than AH (2.1, 2.6%, respectively). AH had significantly more bladder injury than VH (0.7, 0.4%, respectively). AH had significantly more ureteral injury than VH (0.2, 0.1%, respectively). AH had the same bowel injury as VH (0.1%). AH and VH necessitated significantly more reoperation than TLH (0.4, 0.2, 0.0%, respectively).

Conclusion

To our study, VH ensures less complication rates than AH. In experienced centers, VH can be a reliable alternative to AH. Controlled prospective studies with large patient volumes are required to compare TLH and VH according to complication rates.

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Titel: Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity
verfasst von: Melike Doğanay
Yasemin Yildiz
Esra Tonguc
Turgut Var
Rana Karayalcin
Ozlem Gun Eryιlmaz
Orhan Aksakal
Publikationsdatum: 01.08.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 2/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1678-8

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Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity