Urogynaecology / Vaginal hysterectomy

Bowel injury

Bowel injury following vaginal hysterectomy

Success story

Imogen had a vaginal hysterectomy in September 2006. An injury to the rectum was identified and closed with a loop colostomy during the procedure. Her post-operative recovery was stormy, with problems developing after another operation for closure of the loop colostomy, as well as neurological problems following epidural analgesia after the original hysterectomy. PMS Expert Report concluded that bowel injury is a recognised complication vaginal hysterectomy. This case involved the unusual circumstances of distortion of the normal anatomy and unexpected adherence of the rectum to the vagina. The damage to the bowel does not constitute negligence; indeed the doctor acted responsibly in identifying the problem straight away. The case was dropped.