Secondary Haemorrhage following Total Laparoscopic Hysterectomy

Hysterectomy is the most common gynaecological surgery. Hysterectomy is done by laparoscopic approach, open abdominal approach and vaginal approach. Laparoscopic approach has gained popularity among gynaecologists as well patients for its different benefits of minor perioperative complication, reduced intraoperative blood loss, and shorter period of hospital stay. However, there may occur some complications in laparoscopic hysterectomy which includes intraoperative organ injury, intraoperative blood loss, conversion into laparotomy, postoperative fever, surgical emphysema, port site infection, severe gastritis and haemorrhage. Similarly, we encountered a case of vault haemorrhage following total laparoscopic hysterectomy in our institution on 15th postoperative day leading to massive blood loss. Secondary haemorrhage is rare but occurs more often after laparoscopic hysterectomy than after other hysterectomy approaches. Secondary haemorrhage following total laparoscopic hysterectomy is an emergency condition and early diagnosis and prompt treatment is required. Keywords: Complications; hysterectomy; secondary haemorrhage; TLH.