5,926 hysterectomies: complications described by Clavien-Dindo classification
| Autor: | Marco Levancini, Rodrigo A Guzmán-Rojas, Rodrigo I Alliende, Álvaro M Carrasco, Ignacio Miranda-Mendoza, Elias Kovoor |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Clavien-Dindo Classification medicine.medical_treatment Hysterectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans Registries Chile Intraoperative Complications Retrospective Studies 030219 obstetrics & reproductive medicine business.industry General surgery Obstetrics and Gynecology Middle Aged Gynaecological surgery 030220 oncology & carcinogenesis Vagina Female Laparoscopy business Genital Diseases Female |
| Zdroj: | Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 41(7) |
| ISSN: | 1364-6893 |
| Popis: | Hysterectomy is the most common major gynaecological surgery. Due to its high volume, the analysis of its results is relevant. The objective of this study was to describe intraoperative complications and reoperations, for both benign and malignant causes, using the Clavien-Dindo classification (approved by local ethics committee, number 100220). Between 2000 and 2019, 5926 elective hysterectomies were performed, of which 90.2% were for benign aetiology and 9.8% for malignant causes. The abdominal route was 52.7%, vaginal 40.1% and laparoscopic 7.2%. Intraoperative complications and reoperations (grade III Clavien-Dindo) were 4% and 2.1%, respectively. Oncological surgery had significantly more intraoperative complications (10% vs. 3.4%) and reoperations (3.6% vs. 1.9%) than benign procedures. Noteworthy, intraoperative complications required a new operation in only 3.4% for malignant and 2.8% for benign surgery. Our data showed the relevance of detecting and rectifying intraoperative complications during surgery, which consequently leads to a lower reoperation rate, minimising postoperative morbidity and mortality for patients.Impact Statement |
| Databáze: | OpenAIRE |
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