Factors of laparoscopic uterine surgery complication and its prevention
10.11958/j.issn.0253-9896.2015.10.028
- VernacularTitle:腹腔镜子宫手术并发症影响因素的分析与防治
- Author:
Haifang WANG
;
Qiang LI
;
Aihua ZHANG
;
Ailin YAO
- Publication Type:Journal Article
- Keywords:
laparoscopy;
surgery,computer-assisted;
hysterectomy;
concurrent disease;
muscular tumor excision
- From:
Tianjin Medical Journal
2015;(10):1190-1193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the influence factors and prevention measures of complication of laparoscopic uter?ine surgery. Methods Patient who underwent laparoscopic uterine surgery were collected (n=415) and divided into hyster?ectomy group (n=310) and myomectomy group (n=105). Intraoperative and postoperative complications such as gastrointesti?nal injury, urinary injury and bleeding were recorded and compared between these two groups. Base on their uterine size, pa?tients were divided into Group A (uterine volume ≤300 cm3), Group B (300 cm3 0.05). The inci?dence of intraoperative or postoperative bleeding was 1.93%(8/415) and incidence of gastrointestinal damage or urinary inju?ry rate was 0.96%(8/415). The incidence of complications in group C was 20.0%(8/40) which is higher than that in group A (2.8%;5/179) and group B (5.1%;10/196). P<0.01 in all cases. The difference between group A and group B was not signif?icant (P>0.05). The incidence in pelvic adhesions group is higher than that in the group without pelvic adhesions [8.3%(15/180) vs 3.4%(8/235), P<0.05]. Conclusion The incidence of complications in laparoscopic myomectomy was higher than that in laparoscopic hysterectomy. When patients were without pelvic adhesions or with uterine volume< 600 cm3, laparo?scopic surgery present least complication.
