Morbidity and mortality in total hysterectomy

Abstract

1.1. We have reported the results of 538 consecutive unselected hysterectomies from the Tulane Gynecological Department at Charity Hospital of Louisiana at New Orleans. There were 360 total abdominal and 176 total vaginal. There were 2 supravaginal hysterectomies.2.2. There were 211 white and 327 Negro patients with an age distribution of from 17 to 72 years of age, 50 per cent of whom were over 40 years of age.3.3. The mortality in this series was two deaths, or 0.37 per cent.4.4. The morbidity in the entire group of unselected cases was 37 per cent. The morbidity in the total abdominal group was 33.3 per cent.5.5. Of the 176 patients with pelvic inflammatory disease alone or with other benign pelvic pathology, 39 had large bilateral tubovarian abscesses.6.6. There were 9 cases of incidental carcinoma found, or an incidence of 1.48 per cent. Of these, 5 were intraepithelial carcinoma of the cervix.