Hysterectomy - Malpractice Lawyers Compensation Claim

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Our medical malpractice lawyers deal with Hysterectomy negligence cases. If you would like legal advice at no cost and with no further obligation just call the helpline or complete the contact form or email our lawyers offices. Our Hysterectomy lawyers usually deal with personal injury compensation cases on a contingency basis which means that you only pay legal fees if the case is won.

Hysterectomy - Medical Malpractice

A hysterectomy can be a total hysterectomy, in which the uterus, fallopian tubes and ovaries are removed en bloc, while a simple hysterectomy removes the uterus alone. It can be done in an open procedure, in which an incision is made through the abdominal wall. In a vaginal hysterectomy, the incision and entire surgery is done through the vagina. In a laparoscopic procedure, small incisions are made through the abdomen and an endoscope or camera is used to visualize the uterus and to remove things like myomas and endometriosis. Each procedure has its risks and benefits.

Risks common to all hysterectomies include the risk of infection, bleeding and fistula formation. Bleeding can occur if a major artery or vein is nicked or if the surgeon fails to cauterize a vessel as the uterus is being removed. In the same way, nerves can be damaged. Infection can occur due to bacteria getting into the incision and causing an incisional wound or a deeper infection within the pelvis. Proper sterile technique often reduces this form of infection.

In an open hysterectomy, the doctor has easy view of the uterus and rarely misses seeing the small and large arteries and veins in the surgery. The bladder is easily visualized and the risk of rupture or nicking the bladder is low. An open procedure is more painful and the recovery time is longer.

Even with good visualization of the uterus, the fallopian tubes can still be damaged and bleeding from the uterine vessels can happen. The bladder wall is above the lower uterine segment so the surgeon must dissect it away from the uterus before removing the uterus so as not to damage or puncture the bladder.

Haematoma formations can happen with any kind of uterine procedure, including a vaginal hysterectomy or open hysterectomy. This occurs when bleeding is allowed to go unchecked after the surgery. There is excessive pain and a collection of blood forms in the pelvis, called a haematoma. This can necessitate a second surgery to remove or drain the haematoma if it does not go away on its own. There can be a need for blood transfusions and anaemia from blood draining into the pelvic cavity.

Injury to the urinary tract, including the ureters and bladder occur with any type of uterine procedure, including a hysterectomy. This can cause a fistula to form at the level of the bladder that goes into the vagina. Constant urinary tract dribbling can occur or there can be dribbling only when urinating. The dribbling passes through the fistula and goes out of the vagina. This complication happens about 3 percent of the time during a hysterectomy. Damage to the ureters happens about 1.8 percent of the time and usually occurs at the level of the uterine artery. There can also be build up of urine into the pelvic space that is not noticed for a while. It necessitates a second surgery to reattach the ureter or to fix a hole in the bladder. Radioopaque dye studies such as an IVP (Intravenous pyelogram) can show if there is leakage of urine into the vagina or into the pelvic space.

If the bladder incision is not picked up on quickly, a vesico-vaginal fistula can occur. This is a chronic hole that is draining urine from the bladder to the vagina. Embarrassing vaginal leakage can occur and a second surgery is required to remove the fistula and to close the vesicular wall. Another way of treating a bladder fistula is to wear a urinary catheter to continually keep the bladder wall empty for several months until the fistula or tear heals on its own.

LEGAL HELPLINE: ☎ 855 804 7125

mail @ lawmedmal.ca