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Chapter 18 - Hysterectomy for Heavy Menstrual Bleeding

Published online by Cambridge University Press:  22 April 2022

Swati Jha
Affiliation:
Royal Hallamshire Hospital, Sheffield
Eloise Power
Affiliation:
Sergeants’ Inn, London
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Summary

The claimant underwent a hysterectomy at the defendant trust. Five years following surgery she was found to have a chronic left hydronephrosis and hydroureter with only 9% of renal function on the affected side. It was claimed that the hysterectomy had been performed negligently resulting in injury to the left ureter with a loss of kidney function.

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Lessons from Medicolegal Cases in Obstetrics and Gynaecology
Improving Clinical Practice
, pp. 227 - 236
Publisher: Cambridge University Press
Print publication year: 2022

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References

Gupta, J, Kai, J, Middleton, L, Pattison, H, Gray, R, Daniels, J, et al. Levonorgestrel intrauterine system versus medical therapy for menorrhagia. N Engl J Med 2013; 368(2): 128–37.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence (NICE). Heavy menstrual bleeding: assessment and management NICE guideline [NG88]. 2020. Available from: www.nice.org.uk/guidance/ng88Google Scholar
Aarts, JW, Nieboer, TE, Johnson, N, Tavender, E, Garry, R, Mol, BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev (Online) 2015; (8): CD003677.Google Scholar
Gupta, J. Vaginal hysterectomy is the best minimal access method for hysterectomy. Evid Based Med 2015; 20(6): 210.CrossRefGoogle ScholarPubMed
Gupta, JK, Sinha, A, Lumsden, MA, Hickey, M. Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database Syst Rev (Online) 2014; (12): CD005073.Google Scholar
Lethaby, A, Mukhopadhyay, A, Naik, R. Total versus subtotal hysterectomy for benign gynaecological conditions. Cochrane Database Syst Rev (Online) 2012; (4): CD004993.Google Scholar

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