Pacillas-Grijalva JA, Cabada-Torres VC, Moreno E, Flores-Mazón K

Language: Spanish
References: 10
Page: 13-17
PDF size: 215.75 Kb.

ABSTRACT

Introduction: laparoscopic gynecologic surgery is a minimally invasive surgical technique used to diagnose and treat various gynecologic conditions. This approach offers benefits such as faster recovery, less postoperative pain, smaller scars, and fewer complications compared to open surgery. Objective: to describe the laparoscopic gynecologic procedures performed at the institution, determine the complication rate, and identify risk factors. Material and methods: a retrospective cross-sectional observational study was conducted by reviewing the clinical records of patients who underwent gynecologic surgical procedures via laparoscopy at the Children's Hospital of the State of Sonora from January 2023 to December 2024. Results: a total of 27 complications were observed among 149 procedures, of which 21 were classified as minor complications and six (vascular and intestinal injury) as major complications, with no reports of postoperative sequelae or mortality. A significant association was also found between surgical time longer than 120 minutes and the occurrence of surgical complications (p = 0.0005). Conclusion: in our institution, major complications such as bleeding greater than 500 mL, delayed hospital discharge, and vascular injury occurred with an incidence below 3-5%, a range considered acceptable according to the literature on safe surgery. However, the overall complication rate was 18%, which is significantly higher than the 10% threshold generally accepted for laparoscopic procedures. This outcome may be influenced by the type of procedure performed and the surgeon's level of experience.

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