Hysterectomy-Related Morbidity and Mortality Rates in Turkey from 1999 to 2008

Abstract

Objective: The aim of this study was to report the morbidity and mortality rates associated with hysterectomies performed at our unit and to recommend a plan to reduce complications. Methods: In this retrospective review of morbidity and mortality rates, we reviewed the charts of 1188 patients who underwent hysterectomy between 1999 and 2008 at the Ondokuz Mayis University Hospital in Samsun, Turkey. Results: The overall hysterectomy-related morbidity rate was 4.3%. There were no operative or postoperative deaths. The incidence of intraoperative bowel injury was 0.4%, bladder injury was 0.5%, while the incidence of vesicovaginal fistula was 0.2% in this study. Conclusions: In order to reduce the hysterectomy-related morbidity rate, proper selection, pre-operative preparation and less invasive alternative treatments can be employed, such as various methods of endometrial ablation or resections.