Publication: Complications of laparoscopic gynecologic surgery.
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Identifiers
Date
2014-07
Authors
Naveiro Fuentes, Mariña
Rodríguez-Oliver, Antonio
Naveiro Rilo, José Cesáreo
González Paredes, Aida
Aguilar Romero, María Teresa
Fernández Parra, Jorge
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Society of Laparoendoscopic Surgeons
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Abstract
BACKGROUND AND OBJECTIVES
To analyze the frequency of complications during laparoscopic gynecologic surgery and identify associated risk factors.
METHODS
A descriptive observational study was performed between January 2000 and December 2012 and included all gynecologic laparoscopies performed at our center. Variables were recorded for patient characteristics, indication for surgery, length of hospital stay (in days), major and minor complications, and conversions to laparotomy. To identify risk factors and variables associated with complications, crude and adjusted odds ratios were calculated with unconditional logistic regression.
RESULTS
Of all 2888 laparoscopies included, most were procedures of moderate difficulty (adnexal surgery) (54.2%). The overall frequency of major complications was 1.93%, and that of minor complications was 4.29%. The level of technical difficulty and existence of prior abdominal surgery were associated with a higher risk of major complications and conversions to laparotomy.
CONCLUSION
Laparoscopic gynecologic surgery is associated with a low frequency of complications but is a procedure that is not without risk. Greater technical difficulty and prior surgery were factors associated with a higher frequency of complications.
Description
Journal Article;
MeSH Terms
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Surgical Procedures, Minimally Invasive::Endoscopy::Laparoscopy
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Outcome and Process Assessment (Health Care)::Outcome Assessment (Health Care)
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Urogenital Surgical Procedures::Gynecologic Surgical Procedures
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Outcome and Process Assessment (Health Care)::Outcome Assessment (Health Care)
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Urogenital Surgical Procedures::Gynecologic Surgical Procedures
DeCS Terms
CIE Terms
Keywords
Gynecological laparoscopy, Complications, Risk factors, Outcomes, Estudios Retrospectivos, Factores de Riesgo, Evaluación de Resultado (Atención de Salud), Procedimientos Quirúrgicos Ginecológicos, Laparoscopía
Citation
Fuentes MN, Rodríguez-Oliver A, Naveiro Rilo JC, González Paredes A, Aguilar Romero MT, Fernández Parra J. Complications of Laparoscopic Gynecologic Surgery. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2014;18(3):e2014.00058