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- Title
Intraoperative and postoperative complications of gynecological laparoscopic interventions: incidence and risk factors.
- Authors
Kaya, A. C.; Radosa, M. P.; Zimmermann, J. S. M.; Stotz, L.; Findeklee, S.; Hamza, A.; Sklavounos, P.; Takacs, F. Z.; Wagenpfeil, G.; Radosa, C. G.; Solomayer, E. F.; Radosa, J. C.
- 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.
- Subjects
SURGICAL complications; PREOPERATIVE risk factors; GYNECOLOGIC surgery; SURGICAL indications; LAPAROSCOPIC surgery; LOGISTIC regression analysis
- Publication
Archives of Gynecology & Obstetrics, 2021, Vol 304, Issue 5, p1259
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-021-06192-7