A prospective multi-centre study of major complications experienced during excisional laparoscopic surgery for endometriosis

Philip Kaloo, Kaloo PD, Philip D Kaloo, Cooper MJ, Michael Cooper, Michael J W Cooper, Geoffrey Reid, Reid G
European journal of obstetrics, gynecology, and reproductive biology · 2005 · vol. 124(1) , pp. 98–100 · doi:10.1016/j.ejogrb.2005.06.003 · PMID:16026925 · W2037990259
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This multi-center study prospectively identified and characterized major complications occurring during laparoscopic excisional surgery for endometriosis.

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Abstract

ObjectiveTo clarify the rate of major intra-operative and post-operative complications experienced during excisional surgery for endometriosis.DesignProspective multi-centre observational study set in two University teaching hospitals and three private hospitals in Sydney, Australia. All consecutive subjects undergoing laparoscopic excisional surgery for minimal to severe endometriosis were recruited (790 subjects). Complications were recorded intra-operatively or post-operatively on a secure computerised patient database. Major intra- and post-operative complications i.e. inadvertent visceral or vascular injury or other complications directly related to surgery that either significantly prolonged the operating time, delayed discharge or necessitated re-admission.ResultsSeven hundred and ninety subjects were recruited over a 3-year period. Seven major complications were experienced (8.8/1000); four bowel injuries, one cystotomy, one ureteric transection, and one major vascular injury. All visceral or vascular injuries were diagnosed prior to completion of the surgery. No significant longterm sequelae were experienced.ConclusionThe incidence of major complications in this study of 8.8/1000 compares favourably with other similar reports. In view of the potential symptom relief obtained, the authors continue to believe the benefits of such surgery significantly outweigh the risks of subsequent operative-related morbidity.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Laparoscopy Endometriosis Female Gynecologic Surgical Procedures Humans Laparoscopy Postoperative Complications Prospective Studies

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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