%0 Journal Article
%A Naveiro Fuentes, Mariña
%A Rodríguez-Oliver, Antonio
%A Naveiro Rilo, José Cesáreo
%A González Paredes, Aida
%A Aguilar Romero, María Teresa
%A Fernández Parra, Jorge
%T Complications of laparoscopic gynecologic surgery.
%D 2014
%@ 1086-8089
%U http://hdl.handle.net/10668/1904
%X BACKGROUND AND OBJECTIVESTo analyze the frequency of complications during laparoscopic gynecologic surgery and identify associated risk factors.METHODSA 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.RESULTSOf 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.CONCLUSIONLaparoscopic 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.
%K Gynecological laparoscopy
%K Complications
%K Risk factors
%K Outcomes
%K Estudios Retrospectivos
%K Factores de Riesgo
%K Evaluación de Resultado (Atención de Salud)
%K Procedimientos Quirúrgicos Ginecológicos
%K Laparoscopía
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