Complications of laparoscopic gynecologic surgery.

Autor:	Fuentes MN; Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, Spain., Rodríguez-Oliver A; Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, Spain., Naveiro Rilo JC; Departamento de Medicina Preventiva y Salud Pública, Gerencia de Atención Primaria de León, León, Spain., Paredes AG; Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, Spain., Aguilar Romero MT; Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, Spain., Parra JF; Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Jazyk:	angličtina
Zdroj:	JSLS : Journal of the Society of Laparoendoscopic Surgeons [JSLS] 2014 Jul-Sep; Vol. 18 (3).
DOI:	10.4293/JSLS.2014.00058
Abstrakt:	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.
Databáze:	MEDLINE
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