Major complication of Gynaecological Laparoscopy in Police General Hospital: A 4-Year Experience
Seree Teerapong MD*, Pannaon Rungaramsin MD*, Chamnan Tanprasertkul MD**, Kornkarn Bhamarapravatana PhD***, Komsun Suwannarurk MD**
Affiliation : * Department of Obstetrics and Gynaecology, Police General Hospital, Bangkok, Thailand ** Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand *** Department of Preclinical Science, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
Objective : To determine the major-complication rate of gynecological laparoscopy in Police General Hospital.
Material and Method: A retrospective and descriptive analysis of medical records from 423 women who underwent
gynecological laparoscopy in Police General Hospital was conducted.
Results : Four hundred twenty three women were recruited between January 2007 and December 2010. One-third of subjects
had history of previous gynecological surgery. Major complication rate was 2.84% (12/423). Urinary bladder, ureter, bowel,
and vesico-vaginal fistula injury were 0.95% (4), 0.71% (3), 0.95% (4), and 0.23% (1), respectively. The conversion rate
to exploratory laparotomy was 4.7% (20). There was no death in subject who had serious complication in this study. The
operative time trended to decline in minor operation but not changed in major and advanced operation. Two-third of major
complication was intraoperative diagnosed and repaired.
Conclusion : The major complication rate was 2.84%. The urologic and bowel injury are the common complications.
Keywords : Complication, Gynecological laparoscopy
