Prevention and management of hysterectomy complications

Clin Obstet Gynecol. 2014 Mar;57(1):43-57. doi: 10.1097/GRF.0000000000000004.

Abstract

Hysterectomy is the most common gynecologic surgical procedure performed in the United States. Although most hysterectomies proceed without incident, complications with serious consequences may occur. This chapter reviews the incidence, predisposing factors, intraoperative risk, diagnosis, and management and prevention of complications of hysterectomy. These include hemorrhage, infection, thromboembolism, injury to viscera, and neuropathy. The prepared surgeon is familiar with anatomy, surgical risk factors, current recommendations for prophylaxis and prevention, as well as modern management of complications of hysterectomy.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis / methods*
  • Female
  • Fever
  • Gastrointestinal Tract / injuries
  • Humans
  • Hysterectomy / methods*
  • Peripheral Nerve Injuries / prevention & control
  • Postoperative Complications / prevention & control*
  • Postoperative Complications / therapy
  • Postoperative Hemorrhage / prevention & control
  • Postoperative Hemorrhage / therapy
  • Risk Factors
  • Surgical Wound Dehiscence / prevention & control
  • Surgical Wound Dehiscence / therapy
  • Surgical Wound Infection / prevention & control
  • Surgical Wound Infection / therapy
  • Urinary Tract / injuries
  • Uterine Diseases / surgery*
  • Venous Thromboembolism / prevention & control*
  • Venous Thromboembolism / therapy