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Archives of Gynecology and Obstetrics

, Volume 284, Issue 2, pp 385–389 | Cite as

Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity

  • Melike Doğanay
  • Yasemin Yildiz
  • Esra Tonguc
  • Turgut Var
  • Rana Karayalcin
  • Ozlem Gun Eryιlmaz
  • Orhan Aksakal
General Gynecology

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.

Keywords

Hysterectomy Complication Laparoscopic Vaginal Abdominal 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Melike Doğanay
    • 1
    • 2
  • Yasemin Yildiz
    • 1
  • Esra Tonguc
    • 1
  • Turgut Var
    • 1
  • Rana Karayalcin
    • 1
  • Ozlem Gun Eryιlmaz
    • 1
  • Orhan Aksakal
    • 1
  1. 1.Department of Obstetrics and GynecologyZekai Tahir Burak Mother Health Training and Research HospitalAnkaraTurkey
  2. 2.Yuzuncuyιl-AnkaraTurkey

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