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. 2004 Jan 17;328(7432):129. doi: 10.1136/bmj.37984.623889.F6

Table 2.

Primary end point of both trials: major complications. Values are numbers (percentages) of participants

Abdominal trial
Vaginal trial
Abdominal hysterectomy (n=292) Laparoscopic hysterectomy (n=584) Vaginal hysterectomy (n=168) Laparoscopic hysterectomy (n=336)
Major haemorrhage 7* (2.4) 27* (4.6) 5 (2.9) 17 (5.1)
Bowel injury 3 (1) 1 (0.2) 0 0
Ureteric injury 0 5 (0.9) 0 1 (0.3)
Bladder injury 3 (1) 12* (2.1) 2 (1.2) 3 (0.9)
Pulmonary embolus 2 (0.7) 1 (0.2) 0 2 (0.6)
Anaesthesia problems 0 5* (0.9) 0 2 (0.6)
Unintended laparotomy:
Intraoperative conversion 1 (0.3) 23 (3.9) 7 (4.2) 9 (2.7)
Return to theatre 1 (0.3) 3 (0.5) 0 1 (0.3)
Wound dehiscence 1 (0.3) 1 (0.2) 0 1 (0.3)
Haematoma 2 (0.7) 4 (0.7) 2 (1.2) 7 (2.1)
Other complications 0 0 (0) 1 (0.6) 0 (0)
At least one major complication 18 (6.2) 65 (11.1) 16 (9.5) 33 (9.8)

A patient may have had more than one complication.

*

These patients converted procedure before the operation: one patient undergoing abdominal hysterectomy converted to laparoscopic hysterectomy before the operation in the abdominal trial and had a major haemorrhage. Two patients in the abdominal trial who were undergoing laparoscopic hysterectomy converted to abdominal hysterectomy before the operation and had a major haemorrhage. One patients undergoing laparoscopic hysterectomy in the abdominal trial converted to abdominal hysterectomy before the operation and had a major anaesthetic problem. One patient undergoing laparoscopic hysterectomy in the abdominal trial converted to abdominal hysterectomy before the operation and had a bladder injury.

This patient in the abdominal trial was randomised to abdominal hysterectomy, converted to laparoscopic hysterectomy before the operation, and then converted back to abdominal hysterectomy during the operation.