The management of gynecological laparoscopy complications: Review
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S. aysea@turkiyeklinikleri.com Turkocagi Caddesi No. 30 Balgat 06520
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Laparoscopy has a good safety profile, with advantages over more invasive surgeries such as reduced operative procedure time, reduced complications, decreased hospital stay and improved recovery time. However, complications can arise, including vessel injuries, gastrointestinal and genitourinary injury, gas embolism, incisional hernia, port site metastases, subcutaneous emphysema, wound site infection, intraperitoneal adhesions and anaesthesia related complications. Training and supervision of new surgeons, familiarity with equipment and instruments, development of excellent surgical skills and awareness of potential complications are key to management of complications in gynaecological endoscopic procedures. Importantly, there are many ways in which the risk of complications can be minimised. Laparoscopic camera control systems and robotically assisted endoscopic surgeries are some recently developed technological innovations. The use of laparo-endoscopic single-site surgery for procedures including balloon vaginoplasty should theoretically also help reduce complications. There is also a trend towards natural orifice transluminal endoscopic surgery, for example, transvaginal natural orifice transluminal endoscopic hysterectomy, which has the advantages of not being limited by uterine volume or the need for abdominal incision. Thus, surgeons can incorporate innovative techniques and technologies into management and minimisation of complications in gynaecological endoscopic procedures. This article reviews measures can be taken to minimize and management of gynecological laparoscopic complications. © 2018 Elsevier B.V., All rights reserved.
Açıklama
Anahtar Kelimeler
Case management, Complications, Laparoscopy
Kaynak
Turkiye Klinikleri Jinekoloji Obstetrik
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
27
Sayı
1
