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  • Title: The relationship of age and endometrial histology to blood loss and morbidity following vaginal hysterectomy.
    Author: Sprague AD, Van Nagell JR.
    Journal: Am J Obstet Gynecol; 1974 Mar 15; 118(6):805-8. PubMed ID: 4815861.
    Abstract:
    500 cases of vaginal hysterectomies were studied. Indications for vaginal hysterectomy were cervical carcinoma in situ (211), sterilization (210) and abnormal uterine bleeding (79). Blood loss was increased in those patients 35-44 years of age (mean of 331 ml) and was lowest in the 20-24 year age group (276 ml). Mean blood loss for all patients was 291 ml. Blood loss was significantly (p.01) increased in those patients with a secretory endometrium. Pelvic infection (cellulitis or abscess) was unrelated to absolute blood loss but was significantly increased (p.001) in those patients with pelvic hematomas. These finding suggest that vaginal hysterectomy performed on the perimenopausal patient with a secretory endometrium is most likely to be associated with increased blood loss. However, this increased blood loss does not cause a higher incidence of pelvic infection or prolonged postoperative hospital stay.
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