Postoperative complications in laparoscopic gynecological surgery

Abstract

Objetive: Know the postoperative complications in patients undergoing gynecological laparoscopic surgery at the Dr. Manuel Gea González General Hospital.

Material and method: A retrospective observational study was carried out in the Laparoscopic Gynecology Department of the Dr. Manuel Gea González General Hospital, in Mexico City, where all patients undergoing laparoscopic gynecological surgery (a total of 553 laparoscopic procedures) were searched and included, and those that presented some type of surgical complication, during the period from January 2014 to August 2017. For this purpose, the books of operating room surgical procedure records, gynecology service database and the clinical medical records.

Results: A total series of 553 gynecological laparoscopic surgical interventions were reviewed, a total of 27 (4.9%) patients experienced postoperative surgical complications, all were minor complications, and fever was the most frequent complication with 16 cases (2.9%), follow by abscess pelvic/vaginal dome with 4 cases (0.7%) and pulmonary thromboembolism with 3 cases (0.5%).

Three patients were re-intervened (0.5%); and in 2 cases (0.4%) the laparoscopic procedure was aborted to turn it into open surgery.

Conclusion: our results show that gynecological laparoscopic interventions are safe, and are associated with a low frequency of complications, but that this procedure is not exempt from presenting them, so it is necessary to keep them in mind, in order to know how to respond appropriately and have more satisfactory results.