[Complications of hysterectomy: analysis of 162 cases].
OBJECTIVE
To evaluate the complications of different approaches of hysterectomy based on analyzing the records of patients with long post-operative hospitalization.


METHODS
The records of 3722 patients undergoing hysterectomy due to benign gynecologic disorders were retrieved. A total of 162 patients with ultra-long post-operative hospitalization (> 9 days defined as delayed discharge) were analyzed to evaluate the complications of hysterectomy.


RESULTS
(1) Of 162 patients classified into delayed discharge group, 114 (30.6 per thousand)had post-operative fever in which 82 cases (71.9%) could be explained with complications. (2) The most common procedure-related complications included pelvic hematoma/vaginal stump bleeding (n = 46, 12.4 per thousand), wound dehiscence/infection (n = 24, 6.4 per thousand), organ injury (n = 20, 5.4 per thousand), postoperative urinary retention (n = 20, 5.4 per thousand), postoperative infection(n = 20, 5.4 per thousand)and lower extremity deep venous thrombosis (n = 10, 2.7 per thousand). (3) Organ injury appeared to be relatively more common in abdominal hysterectomy than in laparoscopic and vaginal hysterectomy (7.6 per thousand, 2.1 per thousand and 0 respectively) while pelvic hematoma/vaginal stump bleeding more common in laparoscopic and vaginal hysterectomy than in abdominal hysterectomy (16.5 per thousand, 30.8 per thousand and 7.6 per thousand respectively). (4) Wound dehiscence/infection only occurred in abdominal approach and it was closely related with some concurrent disorders.


CONCLUSIONS
Complications of hysterectomy are related to the approach of surgery, disease characteristics and surgeon experiences. A more accurate evaluation of complications might be performed on the basis of the data of patients with delayed discharge.
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Jun
J
Zhao
Xian-jie
XJ
Tan
Jing-he
JH
Lang
Qing
Q
Zhao
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology*