Hollow abdominal visceral injuries following minimally invasive gynecological procedure: a 16 year experience

ABSTRACT

To study the pattern of hollow abdominal visceral injuries during minimally invasive gynecological procedures. Retrospective, Descriptive Study. This study was conducted at Fauji Foundation Hospital Karachi, Gulshan General Hospital Karachi, Star General Hospital Karachi and Al-Tibri Medical College Hospital from July 1997 to December 2013. All patients admitted to above mentioned hospitals for minimally invasive gynecological procedures electively or in emergency were included in the study. Total 3050 minimally invasive gynecological procedures were carried out in the above mentioned hospitals and 77 [2.5 %] patients had complications following the procedures. Mean age was 28 years ranged from 20-55 years. 40 % patients had history of previous gynaecological surgery.Abdominal visceral injuries included small bowel perforation 30 [38.96 %] patients, sigmoid colon perforation 20 [25.97%] patients. Both small bowel and sigmoid colonic perforation 08 [10.38%] patients, Caecal perforation 01 [1.29 %] patient and Urinary Bladder 01 [1.29%] patient. 52 % cases were diagnosed within two days of primary surgery and rest within 10 days. All gynecologists must be skilled, vigilant and careful while doing minimally invasive gynecological procedures that visceral injury should not happen or ready to deal if it happens accidentally