Table 3 Details of complications during total laparoscopic hysterectomy, shown by chronological case number
Patient number | Year | Complication | Result | Conversion | Complicating factors | Uterine dimension (cm3) | Uterine weight (g) |
|---|---|---|---|---|---|---|---|
3 | 1 | Bladder injury | Repaired | No | Endometriosis. 2 × LSCS | 235 | 151 |
13 | 1 | Bowel injury | Repaired | Yes | Severe adhesions | 135 | Not recorded |
31 | 2 | Ureteric injury | Return to theatre. Reimplantation of right ureter and stent insertion | No. Not identified at surgery | Enlarged uterus with adenomyosis | 504 | Not recorded |
32 | 2 | Ureteric injury | Repaired laparoscopically during procedure | No | Endometriosis of both side walls. Dense adhesions (unplanned opening of ureter) | 95 | 128 |
38 | 2 | Bladder injury | Repaired. Prophylactic right ureteric stent | No | Deep infiltrating endometriosis | 189 | 145 |
57 | 3 | Bladder injury | Repaired | No | Previous TVT | Not recorded | 590 |
96 | 4 | Bladder injury | Repaired | No | 2 × LSCS | 400 | Not recorded |
117 | 5 | Bleeding | Return to theatre. Laparotomy. Right uterine artery pedicle. EBL 1000 ml. | No. Not identified at surgery | Multiple adhesions between bowel, ovary and uterus. Previous pelvic sepsis | 144 | 130 |
124 | 5 | Infection/ Bleeding | Raw area of vault sutured in theatre at 3/52 | No | 18/40 fibroid uterus. Infection/bleeding at 3/52 post operation | Morcellated | 564 |
126 | 5 | Bleeding | Return to theatre. Right uterine artery pedicle sutured laparoscopically. EBL 2500 ml | No | 16/40 fibroid uterus. 7 cm right broad ligament fibroid adjacent to cervix. Patient on warfarin | Not recorded | 375 |