[Laparoscopic surgery complications in a reproductive biology service].
Klíčová slova
Abstraktní
BACKGROUND
Poor report of difficulties in using laparoscopic technique has limited the knowledge of its advantages and disadvantages.
OBJECTIVE
To evaluate complications in patients treated with laparoscopic surgical procedures in a biologic reproductive service,
METHODS
Retrospective study in 525 patients treated with conventional laparoscopy due to any gynecological procedure. All pre- and post-operative variables were considered.
RESULTS
There were 16 (3%) complications within the 525 patients studied: six (37.5%) cases with uterine perforation, three (18.8%) with wall bleeding, and two (12.5%) with subcutaneous emphysema. The rest of complications (31.2%) were: post-puncture headache (1), anaphylactic reaction (1), perirectal serous laceration (1), anexial hematoma (1), and ovarian vessels bleeding (1). There was a case of wall hematoma and another with ovarian vessels injury that required a second intervention. Patient with anaphylactic shock required intensive care attention and mechanic ventilation. Mean physicians years of experience were 12 +/- 7 (1 to 20 years). During the period of time of the study there were no dead due to gynecologic laparoscopic procedures.
CONCLUSIONS
Gynecological surgical laparoscopy is a viable alternative to traditional surgery due to less postoperative pain, minimal hospital stay, fast recovery, and better esthetic results and less infectious morbidity.
