hysterectomy

Complications of hysterectomy in general
? Early complications:
1- Anesthetic complication.
2- Pulmonary embolism.
3- Primary hemorrhage ( vascular injury like uterine artery injury).
4- Injury to adjacent organs such as urinary bladder , ureter , bowel injury .
5- Febrile complication.
6- Increase need for blood transfusion .
? Late complications
1- Surgical menopause .
2- Thromboembolism & DVT.
3- Secondary hemorrhage : e.g. bleeding from slipped ligature of uterine artery.
4- Fistula formation .
5- Infection & sepsis .
6- Vault prolapse & enterocele especially with vaginal hysterectomy .
7- Psychological upset .
8- Post hysterectomy syndrome.

Total abdominal hysterectomy
(TAH) Vaginal hysterectomy
(VH) Laparoscopic assisted vaginal hysterectomy (LAVH)
Short operation time Shorter operation time Long operation time
Its less cost effective Less costy Most costy one
Complication of haemorrhage & infection is more less Less
More febrile complication & need for blood transfusion less Less
Injury to adjuvant organ is more than VH less More injury
Post operation pain is more & need for analgesic also more less Less
Slow recovery from anesthesia rapid More rapid
It is the most commonly performed type of hysterectomy Increase incidence Need experience & less common in developing countries