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Complications of gynecologic laparoscopy / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology ; : 1540-1546, 2006.
Article in Korean | WPRIM | ID: wpr-64292
ABSTRACT

OBJECTIVE:

to describe our experience and examine the frequency of gynecologic laparoscopy complication performed in a secondary care hospital.

METHODS:

We retrospectively studied 262 patients were treated by gynecologic laparoscopy (mean age 43 yrs). Period of study were from March 2003 through March 2005 in one teaching hospital. Data were analyzed using SPSS for windows software. Frequency and descriptive statistics were calculated.

RESULTS:

The overall number of complication in 262 laparoscopies was 16 (6.1%). 5 ureter injuries, 3 stump disruption, 2 troca site hematoma, 1 bladder injury, 1 small bowel injury, 1 post operative bowel obstruction, 1 leg neuropathy, 1 leg weakness, 1 massive bleeding. The complication rates were analysed by type of surgery. We evaluated correlation with variable factors. Our complication rates were higher to those reported in the literature and were significantly different by type of surgery. Complications were related to variable factors of blood transfusion and anesthetic time.

CONCLUSION:

The complication rate occurred at higher rates in our institution. All patients complications developed were treated and none sustained long-term morbidity. However, operative laparoscopy should be performed carefully. Early recognition of injuries, preferably intraoperatively, with immediate appropriate treatment is crucial. It is also important to be alert to early manifestations of complications in the postoperative observation period.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Ureter / Secondary Care / Urinary Bladder / Blood Transfusion / Retrospective Studies / Laparoscopy / Hematoma / Hemorrhage / Hospitals, Teaching / Leg Type of study: Observational study Limits: Humans Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2006 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Ureter / Secondary Care / Urinary Bladder / Blood Transfusion / Retrospective Studies / Laparoscopy / Hematoma / Hemorrhage / Hospitals, Teaching / Leg Type of study: Observational study Limits: Humans Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2006 Type: Article