Comparison of TAH ,VH.
LAVH and LH
TAH VH LAVH LH
Short operative shorter Long op time Long op time
time
Less cost effective Less cost More cost More cost
More hemorrhage less less less
& infection
More febrile less less less
complications &
more need for
blood transfusion
Injury to adjacent less More injury More injury
organ more than
VH
More post less less less
operative pain &
more need for
analgesia
Slow recovery rapid More rapid More rapid
time
More exploration less less less
& more access to
other structure
especially in case
of malignancy
Its most increase incidence Less common in Increase incidence
commonly done developing
procedure countries
Complications of hysterectomy in general
Early complications
1. Anesthetic complication
2. Pulmonary embolism
3. Primary hemorrhage( vascular injury like uterine artery injury )
4. Injury to adjacent organ such as ureter , bowel and urinary bladder
5. Febrile complication
6. Increase need for blood transfusion
Late complications :
1. Secondary hemorrhage such as slept ligature of uterine artery
2. Thromboembolism & DVT
3. Infection & sepsis
4. Fistula formation
5. Post hysterectomy syndrome
6. Vault prolapse & enterocele especially with VH
7. Psychological upset
8. Surgical menopause
Long term complications present in the lecture
