1. Intraoperative and postoperative complications of gynecological laparoscopic interventions: incidence and risk factors.
- Author
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Kaya AC, Radosa MP, Zimmermann JSM, Stotz L, Findeklee S, Hamza A, Sklavounos P, Takacs FZ, Wagenpfeil G, Radosa CG, Solomayer EF, and Radosa JC
- Subjects
- Female, Humans, Hysterectomy, Incidence, Intraoperative Complications epidemiology, Intraoperative Complications etiology, Postoperative Complications epidemiology, Postoperative Complications etiology, Retrospective Studies, Risk Factors, Gynecology, Laparoscopy adverse effects
- Abstract
Purpose: The aims of this study were to determine the incidence of intraoperative and postoperative complications of laparoscopic gynecological interventions and to identify risk factors for such complications., Methods: All patients who underwent laparoscopic interventions from September 2013 to September 2017 at the Department of Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital were identified retrospectively using a prospectively compiled clinical database. Binary logistic regression analysis was used to identify independent risk factors for intra- and postoperative complications., Results: Data from 3351 patients were included in the final analysis. Overall, 188 (5.6%) intraoperative and 219 (6.5%) postoperative complications were detected. On multivariate analysis, age [odds ratio (OR), 1.03; 95% confidence interval (CI) 1.01-1.04], surgery duration (OR, 1.02; 95% CI 1.02-1.03), carbon dioxide use (OR, 0.99; 95% CI 0.99-1.00), and surgical indication (all p ≤ 0.01) were independent risk factors for intraoperative and duration of surgery (OR, 1.01; 95% CI 1.01-1.02; p ≤ 0.01), carbon dioxide use (OR, 0.99; 95% CI 0.99-1.00; p ≤ 0.01), hemoglobin drop (OR, 1.41; 95% CI 1.21-1.65; p ≤ 0.01), and ASA status (p = 0.04) for postoperative complications., Conclusion: In this large retrospective analysis with a generally low incidence of complications (5.6% intraoperative and 6.5% postoperative complications), a representative risk collective was identified: Patients aged > 38 years, surgery duration > 99 min, benign or malignant adnex findings were at higher risk for intraoperative and patients with surgery duration > 94 min, hemoglobin drop > 2 g/dl and ASA status III at higher risk for postoperative complications., (© 2021. The Author(s).)
- Published
- 2021
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