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Prevention and Management of Hysterectomy Complications

HODGES, KELLY R. MD; DAVIS, BETH R. MD; SWAIM, LAURIE S. MD

Clinical Obstetrics and Gynecology: March 2014 - Volume 57 - Issue 1 - p 43–57
doi: 10.1097/GRF.0000000000000004
Hysterectomy 2014: Indications and Techniques

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.

Department of Obstetrics and Gynecology, Division of Gynecologic and Obstetric Specialists, Baylor College of Medicine, Houston, Texas

The authors declare that they have nothing to disclose.

Correspondence: Laurie S. Swaim, MD, Department of Obstetrics and Gynecology, Division of Gynecologic and Obstetric Specialists, Baylor College of Medicine, Texas Children’s Hospital, Pavilion for Women, Suite F1020, Houston, TX. E-mail: swaim@bcm.edu

© 2014 by Lippincott Williams & Wilkins.