ArticleArchives of gynecology and obstetrics2021
Intraoperative and postoperative complications of gynecological laparoscopic interventions: incidence and risk factors.
Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- AI-based automated bleeding monitoring in conventional and robot-assisted laparoscopic surgery: a systematic review.Journal of robotic surgery · 2026Pooled it
- Efficacy of Transcutaneous Electrical Acupoint Stimulation Applied During the Post-Anesthesia Recovery Period in Improving Postoperative Recovery Quality After Gynecological Laparoscopic Surgery: A Randomized Controlled Trial.Therapeutics and clinical risk management · 2025Trial
- Hybrid argon plasma coagulation (HybridAPC) versus sharp excision for the treatment of endometriosis: a prospective randomized clinical trial.Archives of gynecology and obstetrics · 2023Trial
- Harmful incidents following gynaecological ambulatory surgery: A scoping review.International journal of nursing studies advances · 2026Review
- Transvaginal sonography-guided aspiration of benign ovarian cysts: a retrospective evaluation of safety, feasibility, and economic and environmental implications.Archives of gynecology and obstetrics · 2026Article
- National implementation of vaginal Natural Orifice Transluminal Endoscopic Surgery for benign hysterectomies: A historical cohort study of Swedish data 2021-2023.Acta obstetricia et gynecologica Scandinavica · 2026Article
- V-Notes Sentinel Lymph Node Staging for Endometrial Cancer: A Systematic Review.Journal of clinical medicine · 2025Review
- Prevention and Treatment of Intraoperative Complications During Gynecological Laparoscopic Surgery: Practical Tips and Tricks-A Narrative Review.Advances in therapy · 2025Review
- Article
- A machine learning-based predictive model for the occurrence of lower extremity deep vein thrombosis after laparoscopic surgery in abdominal surgery.Frontiers in surgery · 2025Article
- Early surgical outcomes of 550 consecutive patients treated for benign gynecological conditions by transvaginal natural orifice transluminal endoscopic surgery.Acta obstetricia et gynecologica Scandinavica · 2024Observational
- Minimal Access in Pediatric Surgery: An Overview on Progress towards Dedicated Instrument Developments and Anesthesiologic Advances to Enhance Safe Completion of Procedures.Children (Basel, Switzerland) · 2024Article
- Article
- Infectious Complications in Laparoscopic Gynecologic Oncology Surgery within an ERAS-Compliant Setting.Journal of personalized medicine · 2024Article
- Multi-Institutional Trends in Gynecological Robotic Surgery in India: A Real-World Scenario.Cureus · 2023Article
- Article
- Urologic Complication after Laparoscopic Hysterectomy in Gynecology Oncology: A Single-Center Analysis and Narrative Review of the Literature.Medicina (Kaunas, Lithuania) · 2022Review
- Use of a microsurgical vascular clip system for temporary bilateral occlusion of the four main uterine vessels for laparoscopic enucleation of very large intramural uterine fibroids.Archives of gynecology and obstetrics · 2022Article
- Beyond the scale: American Society of Anesthesiologists physical status may matter more than body mass index in predicting laparoscopic hysterectomy operative time.Proceedings (Baylor University. Medical Center)Article
- Day case total laparoscopic hysterectomy in a low resource setting: A descriptive analysis.Women's health (London, England)Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe 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.
methodsAll 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.
resultsData 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.
conclusionIn 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.
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