Book contents
- Frontmatter
- Contents
- Contributing Authors
- Forewords
- Preface
- 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY
- 2 EQUIPMENT
- 3 ANESTHESIA
- 4 LAPAROSCOPIC ACCESS
- 5 LAPAROSCOPIC SUTURING
- 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY
- 7 FERTILITY
- 8 HYSTEROSCOPY
- 9 MANAGEMENT OF ADNEXAL MASSES
- 10 ENDOMETRIOSIS
- 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION
- 12 LEIOMYOMAS
- 13 HYSTERECTOMY
- 14 PELVIC FLOOR
- 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN
- 16 GYNECOLOGIC MALIGNANCY
- 17 LAPAROSCOPY IN THE PREGNANT PATIENT
- 18 MINIMAL ACCESS PEDIATRIC SURGERY
- 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007
- 20 COMPLICATIONS IN LAPAROSCOPY
- 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS
- 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES
- 23 ROBOT-ASSISTED LAPAROSCOPY
- 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER
- 25 OVERVIEW OF COMPLICATIONS
- Appendix
- Atlas
- Index
25 - OVERVIEW OF COMPLICATIONS
Published online by Cambridge University Press: 23 December 2009
- Frontmatter
- Contents
- Contributing Authors
- Forewords
- Preface
- 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY
- 2 EQUIPMENT
- 3 ANESTHESIA
- 4 LAPAROSCOPIC ACCESS
- 5 LAPAROSCOPIC SUTURING
- 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY
- 7 FERTILITY
- 8 HYSTEROSCOPY
- 9 MANAGEMENT OF ADNEXAL MASSES
- 10 ENDOMETRIOSIS
- 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION
- 12 LEIOMYOMAS
- 13 HYSTERECTOMY
- 14 PELVIC FLOOR
- 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN
- 16 GYNECOLOGIC MALIGNANCY
- 17 LAPAROSCOPY IN THE PREGNANT PATIENT
- 18 MINIMAL ACCESS PEDIATRIC SURGERY
- 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007
- 20 COMPLICATIONS IN LAPAROSCOPY
- 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS
- 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES
- 23 ROBOT-ASSISTED LAPAROSCOPY
- 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER
- 25 OVERVIEW OF COMPLICATIONS
- Appendix
- Atlas
- Index
Summary
Despite the degree of caution used, complications occur during operative laparoscopy. Because sequelae can result from even relatively easy procedures, a surgeon must be able to recognize them promptly and carry out proper management. The risks increase with the complexity of the procedure, the relative inexperience of the surgeon, and the amount of deviation from standard technique. As laparoscopic operations become more complex, the ability to handle them endoscopically becomes important.
Diagnostic laparoscopy and laparoscopic tubal sterilization involve few risks. The rate of intraoperative and postoperative complications is less than 1% (Table 25.1). Most reports are from large practices with experienced gynecologists, surveys of American Association of Gynecologic Laparoscopists (AAGL) members, and tertiary referral clinics.
The intraoperative and postoperative complication rates in 361 women who underwent laparoscopic hysterectomy for benign pathologic conditions were evaluated. The overall complication rate for hysterectomy carried out by laparoscopy was 11.1%. Most of the complications were minor, including cystitis (1.66%), transient high fever (1.39%), abdominal wall ecchymosis (1.12%), and pneumonia and bronchitis (1.12%). There was no correlation between the type of laparoscopic hysterectomy and the complication rate. Complication rates associated with laparoscopic hysterectomy compare favorably with published complication rates for vaginal and abdominal hysterectomy.
- Type
- Chapter
- Information
- Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy , pp. 582 - 600Publisher: Cambridge University PressPrint publication year: 2008
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