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Titel: Intraoperative and postoperative complications of gynecological laparoscopic interventions: incidence and risk factors
VerfasserIn: 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.
Sprache: Englisch
Titel: Archives of Gynecology and Obstetrics
Bandnummer: 304
Heft: 5
Seiten: 1259–1269
Verlag/Plattform: Springer Nature
Erscheinungsjahr: 2021
Freie Schlagwörter: Laparoscopy
Gynecology
Postoperative complication
Minimally invasive surgery
Hysterectomy
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
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.
DOI der Erstveröffentlichung: 10.1007/s00404-021-06192-7
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-353920
hdl:20.500.11880/32312
http://dx.doi.org/10.22028/D291-35392
ISSN: 1432-0711
0932-0067
Datum des Eintrags: 3-Feb-2022
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Frauenheilkunde
M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
Professur: M - Prof. Dr. E.-F. Solomayer
M - Prof. Dr. Stefan Wagenpfeil
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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