Table 2.
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.