title: [Complications of vaginal hysterectomy on non-prolapsed uterus].
abstract: OBJECTIVE
  To assess our rate of complications after vaginal hysterectomy and those described in the literature, particularly in high risk groups such as obese, nulliparous women with previous abdomino-pelvic surgery or after GnRH administration.
  
  
  METHODS
  We retrospectively looked for complications in 490 patients who underwent vagina l hysterectomy between 1990 and 1998: infections, hemorrhage, intraoperative complications, thrombophlebitis or pulmonary embolism, postoperative complications up to one month. The chi-squared test, t test for equality of means and Fisher's exact test were used for statistical analysis.
  
  
  RESULTS
  The complication rate observed in our series (20.7%) was similar to those reported in the literature. We found no difference in the obese group (n=109) the nulliparous women (n=34), after GnRH administration (n=24) or i women with previous abdomino-pelvic surgery (n=128). Heavy bleeding was not increased by morcellation.
  
  
  CONCLUSIONS
  Vaginal hysterectomy is easy and safe. The vaginal route is the best way for obese subjects and can be carried out in most cases, especially in nulliparous women or after GnRH analogs, even when morcellation is necessary, without increasing morbidity.
authors.affiliation: Clinique de Gynécologie-Obstétrique et de la Reproduction Humaine, CHU Clémenceau, 14030 Caen Cedex.
authors.forename: I
authors.initials: I
authors.lastname: Grosdemouge
authors.forename: V
authors.initials: V
authors.lastname: Bléret-Mattart
authors.forename: P
authors.initials: P
authors.lastname: von Theobald
authors.forename: M
authors.initials: M
authors.lastname: Dreyfus
mesh_terms: D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000008:administration & dosage; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007431:Intraoperative Complications; D009765:Obesity; D011183:Postoperative Complications; D019106:Postoperative Hemorrhage; D011655:Pulmonary Embolism / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D013924:Thrombophlebitis / Q000209:etiology; D014596:Uterine Prolapse
chemical_list: D007987:Gonadotropin-Releasing Hormone