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Similar Complications Cited for Vaginal, Abdominal Hysterectomy.
ORLANDO, FLA. -- A relatively large uterus should not necessarily preclude vaginal hysterectomy, since vaginal and abdominal hysterectomy have similar perioperative complications in cases where the uterus weighs at least 250 g.
That was the conclusion of a study presented by Dr. Ozgur Harmanli at a meeting of the One Kilo Club.
Dr. Harmanli of Temple University, Philadelphia, and his associates compared the records of 288 patients with large uteri who underwent hysterectomy at Temple University Hospital.
Two hundred women had abdominal hysterectomies; 88 had vaginal hysterectomies.
The mean uterine size in the vaginal hysterectomy group was 500.9 g. Women undergoing abdominal hysterectomy did have larger uteri; mean uterine size was 737.4 g, Dr. Harmanli said at the meeting at the meeting, which was held in conjunction with the 37th International College of Surgeons' North American Federation Congress.
No significant differences were seen in visceral injuries, bleeding requiring transfusion, postoperative fever, hematoma, readmission, or urinary tract infection.
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Source: HighBeam Research, Similar Complications Cited for Vaginal, Abdominal Hysterectomy.