Abstract
Hysterectomy was once the primary management for benign pathologies such as heavy menstrual bleeding and fibroid uterus. In recent years advances in medical therapy and ablation techniques commonly manage these conditions, and thus hysterectomies are now performed less frequently. As a result, only gynaecologists with the appropriate training, will perform hysterectomies. Each type of hysterectomy has its own set of individual risks and if not promptly addressed can result in litigation. This chapter discusses the main risks of performing hysterectomy whether laparoscopic or open and how to avoid litigation.
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References
Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews 2015, Issue 8. Art. No.: CD003677. DOI: https://doi.org/10.1002/14651858.CD003677.pub5
NICE. Laparoscopic hysterectomy (including laparoscopic total hysterectomy and laparoscopically assisted vaginal hysterectomy) for endometrial cancer. 2010 Interventional procedures guidance 356.
NICE Heavy menstrual bleeding: assessment and management. Clinical guideline [CG44] Published date: January 2007.
Royal College of Obstetricians and Gynaecologists. Obtaining Valid Consent. London: RCOG; 2008. http://www.rcog.org.uk/files/rcog-corp/CGA6-15072010.pdf
Mäkinen J, Johansson J, Tomás C, Tomás E, Heinonen PK, Laatikainen T, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod. 2001;16(7):1473–8.
Mäkinen J, Brummer T, Jalkanen J, Heikkinen AM, Fraser J, Tomás E, et al. Ten years of progress-improved hysterectomy outcomes in Finland 1996-2006: a longitudinal observation study. BMJ Open. 2013;3(10)
Ahmad G, Gent D, Henderson D, O’Flynn H, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database of Systematic Reviews 2015, Issue 8. Art. No.: CD006583. DOI: https://doi.org/10.1002/14651858.CD006583.pub4
Sutton CJG and Phillips K. Preventing Entry-Related Gynaecological Laparoscopic Injuries. RCOG Green-top Guideline No.49. 2008.
Jha SD, Rowland ST. Litigation in gynaecology. Obstet Gynaecol. 2014;16:51–7.
Jha S, Coomarasamy A, Chan KK. Ureteric injury in obstetric and gynaecological surgery. Obstet Gynaecol. 2004;6:203–8.
Al-Sunaidi M, Tulandi T. Adhesion-Related Bowel Obstruction After Hysterectomy for Benign Conditions. Obstet Gynecol. 2006;108:1162–6.
Ayeleke R, Mourad S, Marjoribanks J, Calis KA, Jordan V. Antibiotic prophylaxis for elective hysterectomy. Cochrane Database of Systematic Reviews 2017, Issue 6. Art. No.: CD004637. DOI: https://doi.org/10.1002/14651858.CD004637.pub2
Barber EL, Neubauer NL, Gossett DR. Risk of venous thromboembolism in abdominal versus minimally invasive hysterectomy for benign conditions. Am J Obstet Gynecol. 2015;212:609.e1–7.
Nguyen NT, Cronan M, Braley S, Rivers R, Wolfe BM. Duplex ultrasound assessment of femoral venous flow during laparoscopic and open gastric bypass. Surg Endosc. 2003;17(2):285–90.
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Cunningham, T.K., Phillips, K. (2018). Abdominal Hysterectomy. In: Jha, S., Ferriman, E. (eds) Medicolegal Issues in Obstetrics and Gynaecology. Springer, Cham. https://doi.org/10.1007/978-3-319-78683-4_36
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DOI: https://doi.org/10.1007/978-3-319-78683-4_36
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