Vaginal, laparoscopic, or abdominal hysterectomies for benign disorders: immediate and early postoperative complications

Michel Cosson, Cosson M, M Cosson, Éric Lambaudie, Lambaudie E, E Lambaudie, Boukerrou M, M Boukerrou, Malik Boukerrou, Querleu D, Denis Querleu, D Querleu, G Crépin, Crépin G
European journal of obstetrics, gynecology, and reproductive biology · 2001 · vol. 98(2) , pp. 231–236 · doi:10.1016/s0301-2115(01)00341-4 · PMID:11574137 · W2116076550
article OA: closed CC0 ⤵ 5 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This paper examines the immediate and early postoperative complications associated with vaginal, laparoscopic, and abdominal hysterectomies performed for benign disorders.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Objectivehysterectomy for benign disorders is usually well tolerated, but complications do occur. The aim of this retrospective study is to document such complications.Patients and methodsbetween March 1991 and December 1998, 1604 patients (mean age: 46 years) underwent hysterectomy for benign disorders. Peroperative and early postoperative complications were recorded for the 1248 vaginal hysterectomies (8%), 190 laparoscopically assisted vaginal hysterectomies (12%), and 166 abdominal hysterectomies (10%).Resultsnone of the patients died. There were 15 bladder (0.9%) and one ureter injury (0.06%) with no significant difference between routes. Intestinal injuries (0.6%) overall were more common when laparotomy was performed (2.4%). In 45 patients (2.8%), bleeding exceeded 500 ml. The rates were vaginal hysterectomy (2%, P<0.001), laparotomy (6.7%), and laparoscopy (5.3%). The overall reoperation rate of 0.8% does not differ with the type of the procedure.ConclusionPer and early postoperative complications after hysterectomy remain important and patients should be aware of them. In order to control complications and decrease the morbidity, a high-risk population should be defined based on the patients' history of pelvic surgery and endometriosis, on their parity and the size of their uterus. For these patients, the most appropriate route should be preferred and complications should be assessed using different tests and subsequently treated during the same procedure.

My notes (saved in your browser only)

MeSH descriptors

Hysterectomy Laparoscopy Postoperative Complications Abdomen Abdomen Adult Cesarean Section Female Humans Hysterectomy Hysterectomy, Vaginal Laparoscopy Middle Aged Postoperative Hemorrhage Retrospective Studies Ureter Ureter Urinary Tract Infections Urinary Tract Infections

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (18)

Cited by (5)

Source provenance

europepmc
last seen: 2026-09-06T06:16:21.322493+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:13:19.284922+00:00
unpaywall
last seen: 2026-09-06T06:31:40.515551+00:00
License: CC0 · commercial use OK