5,926 hysterectomies: complications described by Clavien–Dindo classification

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Alliende, Rodrigo
Carrasco, Álvaro
Levancini, Marco
Kovoor, Elias
Guzmán Rojas, Rodrigo
Miranda, Ignacio
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Hysterectomy is the most common major gynaecological surgery. Due to its high volume, the analysis of its results is relevant. The objective of this study was to describe intraoperative complications and reoperations, for both benign and malignant causes, using the Clavien–Dindo classification (approved by local ethics committee, number 100220). Between 2000 and 2019, 5926 elective hysterectomies were performed, of which 90.2% were for benign aetiology and 9.8% for malignant causes. The abdominal route was 52.7%, vaginal 40.1% and laparoscopic 7.2%. Intraoperative complications and reoperations (grade III Clavien–Dindo) were 4% and 2.1%, respectively. Oncological surgery had significantly more intraoperative complications (10% vs. 3.4%) and reoperations (3.6% vs. 1.9%) than benign procedures. Noteworthy, intraoperative complications required a new operation in only 3.4% for malignant and 2.8% for benign surgery. Our data showed the relevance of detecting and rectifying intraoperative complications during surgery, which consequently leads to a lower reoperation rate, minimising postoperative morbidity and mortality for patients.
Palabras clave
Obstetrics , Hysterectomy , Reoperation gynaecology , Clavien–Dindo
Rodrigo I. Alliende , Álvaro M. Carrasco , Marco Levancini , Elias Kovoor , Rodrigo A. Guzmán-Rojas & Ignacio Miranda-Mendoza (2021): 5,926 hysterectomies: complications described by Clavien–Dindo classification, Journal of Obstetrics and Gynaecology, https://doi.org/10.1080/01443615.2020.1835843