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©2013 UpToDate ® Print Email Complications of abdominal hysterectomy for benign disease Rate of complications, percent Overall severe complications 4* to 6• Major hemorrhage (requiring transfusion or surgical intervention) 2*Δ Thromboembolism 0.2 (with mechanical or pharmacologic thromboprophylaxis)Δ; 15 to 30 (without thromboprophylaxis)◊ Bladder injury 0.02§ to 1• Ureteral injury 0.04§ Urinary tract infection 4Δ Bowel injury 0.2Δ to 1• Bowel obstruction 1¥ Surgical site infection 3Δ Reoperation 0.5*• Mortality 0.03* * Maresh MJ, Metcalfe MA, McPherson K, et al. BJOG 2002; 109:302. • Garry R, Fountain J, Mason S, et al. BMJ 2004; 328:129. Δ Makinen J, Johansson J, Tomas C, et al. Hum Reprod 2001; 16:1473. ◊ Greer IA. Baillieres Clin Obstet Gynaecol 1997; 11:403. § Harkki-Siren P, Sjoberg J, Tiitinen A. Obstet Gynecol 1998; 92:113. ¥ Al-Sunaidi M, Tulandi T. Obstet Gynecol 2006; 108:1162.