Contreras OJ, Montiel MRI, Aguilar-Villanueva AF, Brito SF, Rodríguez RG, Benítez BJ

Language: Spanish
References: 12
Page: 154-157
PDF size: 153.68 Kb.

ABSTRACT

Introduction: Laparoscopic approach has revolutionized the field of gynecological surgery with benefits that include decreased postoperative pain, shorter days of hospital stay, early reincorporation of normal activities and fewer postoperative complications compared to the open technique. Objective: Compare the relationship between the percentage of complications in a third level public hospital with the medical-scientific literature. Material and methods: Retrospective cross-sectional observational design, the clinical records of patients with gynecological laparoscopic surgeries were reviewed and analyzed, obtaining the percentage of total complications. The procedures were carried out in the period from March 2018 to September 2020 at the "Adolfo López Mateos" ISSSTE Regional Hospital, undergoing a total of 117 surgeries. Results: Fifteen complications were observed from 117 laparoscopic gynecological procedures, of which only 13 are related to minor complications and two (vascular and intestinal injury) to major complications. No report of post-surgical sequel or mortality. Conclusions: In our institutional experience, the only complications we faced were epigastric vessel injury, intestinal injury, major bleeding, expected post-surgical pain related and not related to puncture sites and post incisional hernia, none of the complications presented an incidence greater than 2.5% being within the average and even below in certain complications according to medical literature.

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