Abdominal hysterectomy for benign conditions 2009

Question 1

What to discuss pre-op in terms of techique of surgery

Answer 1

Midline or transverse
Total or subtotal - even if plan to do subtotal not always possible
Ovaries - premenopausal immediate menospause & long term health indication

Should discuss potential impact on sexual function, bladder function, psychology. Will stop bleeding but unknown effect pelvic pain, premesntral Sx

Question 2

Abdo hysterectomy - risk serious complication

Answer 2

4/100 (common)

Question 3

Abdo hysterectomy risk damage bladder and/or ureter?

Answer 3

7/1000 (uncommon)

Question 4

Abdo hysterectomy risk damage to bowel

Answer 4

4/10 000 (rare)

Question 5

Abdo hysterectomy risk haemorrhage requiring blood transfusion

Answer 5

23/1000 (common)

Question 6

Abdo hysterectomy Return to theatre bleeding/wound dehiscence

Answer 6

7/1000

Question 7

Abdo hysterectomy pelvic abscess/infection

Answer 7

2/1000 uncommon

Question 8

Abdo hysterectomy risk death within 6 weeks

Answer 8

32/100,000 rare

Question 8

Abdo hysterectomy tisk VTE

Answer 8

4/1000 uncommon

Question 9

Main causes of death following Abdo hysterectomy

Answer 9

PE and cardiac disease

Question 10

How often ovarian failure

Answer 10

Frequent