Skip to main content

Complications

  • Chapter
  • First Online:
Minimally Invasive Gynecological Surgery

Abstract

In the past decades, an enormous increase in number of laparoscopic approaches in surgery is observed at debit of the conventional open procedures. Furthermore, in gynecology, a shift from diagnostic procedures to therapeutic interventions is perceived. Despite the great enthusiasm at the introduction of this surgical technique, in both within the field of gynecology and general surgery, one should not lose sight of the fact that complications can also occur during this surgical approach and even during (simple) procedures where they are not expected.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Aksu T, Coskun F (2004) Complications of gynaecological laparoscopy—a retrospective analysis of 3572 cases from a single institute. J Obstet Gynaecol 24:813–816

    Article  Google Scholar 

  • Bishoff JT, Allaf ME, Kirkels W et al (1999) Laparoscopic bowel injury: incidence and clinical presentation. J Urol 161:887–890

    Article  CAS  PubMed  Google Scholar 

  • Blikkendaal MD, Twijnstra AR, Stiggelbout AM, Beerlage HP, Bemelman WA, Jansen FW (2013) Achieving consensus on the definition of conversion to laparotomy: a Delphi study among general surgeons, gynecologists, and urologists. Surg Endosc 27(12):4631–4639

    Article  PubMed  Google Scholar 

  • Boike GM, Miller CE, Spirtos NM et al (1995) Incisional bowel herniations after operative laparoscopy: a series of nineteen cases and review of the literature. Am J Obstet Gynecol 172:1726–1731

    Article  CAS  PubMed  Google Scholar 

  • Brosens I, Gordon A, Campo R, Gordts S (2003) Bowel injury in gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 10(1):9–13

    Article  PubMed  Google Scholar 

  • Brummer TH, Seppälä TT, Härkki PS (2008) National learning curve for laparoscopic hysterectomy and trends in hysterectomy in Finland 2000–2005. Hum Reprod 23:840–845

    Article  PubMed  Google Scholar 

  • Chan JK, Morrow J, Manetta A (2003) Prevention of ureteral injuries in gynecologic surgery. Am J Obstet Gynecol 188:1273–1277

    Article  PubMed  Google Scholar 

  • Chapron C, Querleu D, Mage G et al (1992) Complications of gynecologic laparoscopy. Multicentric study of 7,604 laparoscopies. J Gynecol Obstet Biol Reprod 21:207–213

    CAS  Google Scholar 

  • Childers JM, Aqua KA, Surwit EA et al (1994) Abdominal-wall tumor implantation after laparoscopy for malignant conditions. Obstet Gynecol 84:765–769

    CAS  PubMed  Google Scholar 

  • Garry R, Fountain J, Mason S et al (2004) The eVALuate study: two parallel randomized trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 328:1229–1236

    Article  Google Scholar 

  • Gordon AG, Lewis BV (1995) Complications of laparoscopy. In: Gordon AG, Lewis BV, DeCherney AH (eds) Atlas of gynecologic endoscopy. Mosby-Wolfe, New York, pp 136–142

    Google Scholar 

  • Härkki-Siren P, Sjoberg J, Kurki T (1999) Major complications of laparoscopy: a follow-up Finnish study. Obstet Gynecol 94:94–98

    Article  PubMed  Google Scholar 

  • Hasson HM, Parker WH (1998) Prevention and management of urinary tract injury in laparoscopic surgery. J Am Assoc Gynecol Laparosc 5:99–114

    CAS  PubMed  Google Scholar 

  • Hasson HM, Rotman C, Rana N et al (2000) Open laparoscopy: 29-year experience. Obstet Gynecol 96:763–766

    Article  CAS  PubMed  Google Scholar 

  • Hurt WG, Jones CM III (1993) Intraoperative ureteral injuries and urinary diversion. In: Nichols DH (ed) Gynecologic and obstetric surgery. Mosby, Baltimore, pp 900–910

    Google Scholar 

  • Jansen FW, Kapiteyn K, Trimbos-Kemper T et al (1997) Complications of laparoscopy: a prospective multicenter observational study. Br J Obstet Gynaecol 104:595–600

    Article  CAS  PubMed  Google Scholar 

  • Kadar N, Reich H, Liu CY et al (1993) Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 168:1493–1495

    Article  CAS  PubMed  Google Scholar 

  • Kalhan SB, Reaney JA, Collins RL (1990) Pneumomediastinum and subcutaneous emphysema during laparoscopy. Cleve Clin J Med 57:639–642

    Article  CAS  PubMed  Google Scholar 

  • Karaman Y, Bingol B, Günenç Z (2007) Prevention of complications in laparoscopic hysterectomy: experience with 1120 cases performed by a single surgeon. J Minim Invasive Gynecol 14:78–84

    Article  PubMed  Google Scholar 

  • la Chapelle CF, Bemelman WA, Rademaker BM, van Barneveld TA, Jansen FW; on behalf of the Dutch Multidisciplinary Guideline Development Group Minimally Invasive Surgery (2012) A multidisciplinary evidence-based guideline for minimally invasive surgery.: Part 1: entry techniques and the pneumoperitoneum. Gynecol Surg 9(3):271–282

    Google Scholar 

  • Leron E, Piura B, Ohana E, Mazor M (1998) Delayed recognition of major vascular injury during laparoscopy. Eur J Obstet Gynecol Reprod Biol 79(1):91–93

    Article  CAS  PubMed  Google Scholar 

  • Li TC, Saravelos H, Richmond M et al (1997) Complications of laparoscopic pelvic surgery: recognition, management and prevention. Hum Reprod Update 3:505–515

    Article  CAS  PubMed  Google Scholar 

  • Magrina JF (2002) Complications of laparoscopic surgery. Clin Obstet Gynecol 45:469–480

    Article  PubMed  Google Scholar 

  • Mäkinen J, Brummer T, Jalkanen J, Heikkinen AM, Fraser J, Tomás E, Härkki P, Sjöberg J (2013) Ten years of progress–improved hysterectomy outcomes in Finland 1996–2006: a longitudinal observation study. BMJ Open 3(10):e003169

    Article  PubMed Central  PubMed  Google Scholar 

  • Munro MG (2002) Laparoscopic access: complications, technologies, and techniques. Curr Opin Obstet Gynecol 14:365–374

    Article  PubMed  Google Scholar 

  • Murdock CM, Wolff AJ, Van Geem T (2000) Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy. Obstet Gynecol 95:704–709

    Article  CAS  PubMed  Google Scholar 

  • Nagarsheth NP, Rahaman J, Cohen CJ et al (2004) The incidence of port-site metastases in gynecologic cancers. JSLS 8:133–139

    PubMed Central  PubMed  Google Scholar 

  • Nezhat C, Childers J, Nezhat F et al (1997) Major retroperitoneal vascular injury during laparoscopic surgery. Hum Reprod 12:480–483

    Article  CAS  PubMed  Google Scholar 

  • Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, van Voorst S, Mol BW, Kluivers KB (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev (3):CD003677

    Google Scholar 

  • Oh BR, Kwon DD, Park KS et al (2000) Late presentation of ureteral injury after laparoscopic surgery. Obstet Gynecol 95:337–339

    Article  CAS  PubMed  Google Scholar 

  • Ostrzenski A, Ostrzenska KM (1998) Bladder injury during laparoscopic surgery. Obstet Gynecol Surv 53:175–180

    Article  CAS  PubMed  Google Scholar 

  • Ostrzenski A, Radolinski B, Ostrzenska KM (2003) A review of laparoscopic ureteral injury in pelvic surgery. Obstet Gynecol Surv 58:794–799

    Article  PubMed  Google Scholar 

  • Pados G, Vavilis D, Pantazis K et al (2005) Unilateral vulvar edema after operative laparoscopy: a case report and literature review. Fertil Steril 83:471–473

    Article  PubMed  Google Scholar 

  • Peterson HB, DeStefano F, Rubin GL et al (1983) Deaths attributable to tubal sterilization in the United States, 1977 to 1981. Am J Obstet Gynecol 146:131–136

    CAS  PubMed  Google Scholar 

  • Pillet MCL, Leonard F, Chopin N (2009) Incidence and risk factors of bladder injuries during laparoscopic hysterectomy indicated for benign uterine pathologies: a 14.5 years experience in a continuous series of 1501 procedures. Hum Reprod 24:842–849

    Article  Google Scholar 

  • Ramirez PT, Frumovitz M, Wolf JK et al (2004) Laparoscopic port-site metastases in patients with gynecological malignancies. Int J Gynecol Cancer 14:1070–1077

    Article  CAS  PubMed  Google Scholar 

  • Reich H, McGlynn F, Budin R (1991) Laparoscopic repair of full-thickness bowel injury. J Laparoendoscopic Surg 1:119–122

    Article  CAS  Google Scholar 

  • Rodrigues SP, Wever AM, Dankelman J, Jansen FW (2012) Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc 26(2):350–356

    Article  PubMed Central  PubMed  Google Scholar 

  • Saidi MH, Vancaillie TG, White AJ et al (1994) Complications and cost of multipuncture laparoscopy: a review of 264 cases. Gynecol Endosc 3:85–90

    Google Scholar 

  • Soderstrom RM (1993) Bowel injury ligation after laparoscopy. J Am Assoc Gynecol Laparosc 1:74–77

    Article  CAS  PubMed  Google Scholar 

  • Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. Br J Surg 99(3):315–323

    Article  CAS  PubMed  Google Scholar 

  • Tanaka Y, Asada H, Kuji N et al (2008) Ureteral catheter placement for prevention of ureteral injury during laparoscopic hysterectomy. J Obstet Gynaecol Res 34:67–72

    PubMed  Google Scholar 

  • Thompson JD (1992) Vesicovaginal fistulas. In: Thompson JD, Rock JA (eds) Te Linde’s operative gynecology, 7th edn. JB Lippincott, Philadelphia, p 788

    Google Scholar 

  • Twijnstra AR, Blikkendaal MD, van Zwet EW, van Kesteren PJ, de Kroon CD, Jansen FW (2012) Predictors of successful surgical outcome in laparoscopic hysterectomy. Obstet Gynecol 119(4):700–708

    Article  PubMed  Google Scholar 

  • Twijnstra AR, Blikkendaal MD, van Zwet EW, Jansen FW (2013) Clinical relevance of conversion rate and its evaluation in laparoscopic hysterectomy. J Minim Invasive Gynecol 20(1):64–67

    Article  PubMed  Google Scholar 

  • Vilos GA, Ternamian A, Dempster J et al (2007) Laparoscopic entry: a review of techniques, technologies, and complications. The Society of Obstetricians and Gynaecologists of Canada. J Obstet Gynaecol Can 29:433–465

    PubMed  Google Scholar 

  • Zaki H, Penketh R, Newton J (1995) Gynaecological laparoscopy audit: Birmingham experience. Gynecol Endosc 4:251–257

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frank Willem Jansen MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jansen, F.W. (2015). Complications. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-44059-9_20

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44058-2

  • Online ISBN: 978-3-662-44059-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics