       Document 0044
 DOCN  M9640044
 TI    Early complications of abdominal and vaginal hysterectomy.
 DT    9604
 AU    Harris WJ; East Tennessee State University Quillan College of Medicine,;
       Johnson City, USA.
 SO    Obstet Gynecol Surv. 1995 Nov;50(11):795-805. Unique Identifier :
       AIDSLINE MED/96123954
 AB    In 1982, the Collaborative Review of Sterilization (CREST) study was
       published, reviewing the complications accompanying and following both
       abdominal and vaginal hysterectomy. This review was undertaken to see
       how these rates have changed in the ensuing years. All large series of
       abdominal and vaginal hysterectomy complications published subsequent to
       the CREST study were reviewed. Additionally, other studies that focused
       on specific complications were reviewed. It is concluded that the
       following changes related to hysterectomy morbidity have occurred since
       the publication of the CREST study: 1) the use of blood transfusion has
       diminished due to concern regarding human immunodeficiency virus
       contamination; 2) the rate of urinary tract infection has decreased
       primarily due to routine use of prophylactic antibiotics; and 3)
       inadvertent injury to the bladder has been noted more frequently at a
       rate of 1 to 2 percent. A particularly important category of
       complication is unintended major surgical procedures which accompany or
       follow hysterectomy. This has been shown to occur at a rate of
       approximately 4 percent on general gynecology services. Finally, risk
       factors that add to the morbidity of hysterectomy are discussed.
 DE    Female  Fever of Unknown Origin  Human  *Hysterectomy  Hysterectomy,
       Vaginal  Infection/EPIDEMIOLOGY  Intraoperative
       Complications/EPIDEMIOLOGY  Postoperative Complications/*EPIDEMIOLOGY
       Postoperative Hemorrhage/EPIDEMIOLOGY  JOURNAL ARTICLE  REVIEW  REVIEW
       LITERATURE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

