October 1954


Author Affiliations

Department of Obstetrics and Gynecology, University of Louisville Medical School.

AMA Arch Surg. 1954;69(4):500-515. doi:10.1001/archsurg.1954.01270040056010

AN ANALYSIS of 1,075 private patients who had hysterectomies was made to determine why the operations were performed and what the results were. There were four deaths in this series, a mortality of 0.37%. Two were sudden, from pulmonary emboli, each occurring the 14th postoperative day, as the patients were ready for discharge from the hospital; the third was from acute pyonephrosis and myocardial infarction, occurring the 23d day, after a normal convalescence at home from vaginal hysterectomy, with death on the 28th day. The fourth patient had had resection of the sigmoid, resection of the terminal ileum, and removal of the uterus, both tubes and ovaries and most of the urinary bladder for carcinoma of the sigmoid invading the pelvic organs. Death occurred after 12 days from peritonitis which developed from a leak in the end-to-end sigmoid anastomosis. Total hysterectomy was performed in 979 cases (91.1%), subtotal hysterectomy in

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