title: Bleeding complications after CASH.
abstract: We assessed the frequency and studied the possible mechanisms of bleeding after classic abdominal Semm hysterectomy (CASH) in a retrospective, nonrandomized review of 70 women (47 premenopausal) undergoing the procedure with 1-year minimum follow-up. In several women CASH was associated with adhesiolysis, and in more than 50% with bilateral oophorectomy. Of the 47 patients who were menstruating prior to surgery, 6 (13%) reported postoperative menstruation. Two additional patients required repeat surgery, and one required transfusion. Endometrial glands were present in one excised specimen, suggesting the possibility that menstruation and hematometra may occur.
authors.affiliation: Department of Gynecologic Endoscopy, St. Joseph Hospital, Vienna, Austria.
authors.forename: F
authors.initials: F
authors.lastname: Gill
authors.forename: B
authors.initials: B
authors.lastname: McLucas
mesh_terms: D000005:Abdomen / Q000601:surgery; D000328:Adult; D000368:Aged; D001803:Blood Transfusion; D002584:Cervix Uteri / Q000601:surgery; D004717:Endometrium / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006409:Hematometra / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008598:Menstruation; D008875:Middle Aged; D010052:Ovariectomy / Q000009:adverse effects; D019106:Postoperative Hemorrhage / Q000209:etiology*; D017697:Premenopause; D012086:Reoperation; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000601:surgery