Endometriosis 79: Understand Potential Risks and Complications of Endometrial Hysterectomy

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As we mentioned in other articles, if endometriosis grows somewhere else other than the endometrium, it also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy is always the last resource in treating endometriosis for woman who have exhausted all treatments without success, or endometrial tissues have become cancerous her doctor may suggest some kind of hysterectomy. If the endometrial hysterectomy is decided, you may want to know what the potential risks are and complications may occur during and after surgery.

Hysterectomy is a surgical procedure. Like any other surgery it has its potential risks and complication. The mortality rate of hysterectomy is less than one in 1000. The complications usually can be divided into 2 categories during surgery and after surgery. Here are some common risks and complications have been listed by The American College of Obstetricians and Gynecologists (ACOG)

I. During Surgery

1) Excessive bleeding

Excessive bleeding can occur in any operation including hysterectomy. It is normally administrated by blood transfusion.

2) Damage to abdominal organs

They are caused by medical instruments used during operation. It is a rare case, but may happen. If you have hysterectomy and feel constant pain in your abdominal region, you should contact your doctor immediately. If the pain is due to damage to abdominal organs, it can be repair easily if recognized early.

3) Unexpected drug reaction

Usually is a mild complication during surgery caused by allergic reaction of the patient to certain types of medication- used. It is rare but it may happen, since pre-operative evaluation has been careful taken to rule out this kind of risk for all patients. Sometimes, in severe cases the operation must stop if the complication is interfering with heart or lung function.

II. After surgery

1) Infection

It happens to only 10% of women after hysterectomy, even if preventive antibiotics are given before hysterectomy. It can be easily administrated by some kind of antibiotics prescribed by their doctor.

2) Blood clots

Hysterectomy may cause blood clots in the leg or lung after surgery. Normally women with high risk of blood clots are given blood thinner medication after surgery for preventive measure.

3) Symptoms of menopause

Hysterectomy surgery including removal of the ovaries causing hormone imbalance resulting in early symptoms of menopause. Study shows that women who have hysterectomy without removing the ovary may encounter early menopause as well, but only 4-5 years earlier.

4) Poor healing

Poor healing on the incision area is usually caused by infection of bacteria or poor care of incision after surgery. It is easy to correct with a skin operation. Others can be administrated by prescription drugs.

There are many more risks and complications such as nerve injury, formation of adhesion ,hernia, nausea, vomiting, etc. You can obtain the information at ACOG.