Dealing with Complications in Laparoscopy

Best Practice and Research Clinical Obstetrics and Gynaecology 23 (2009) 631-646

Alan Lam, MBBS(Hons), FRACOG, FRCOG, Associate Professor a,*,
Yuval Kaufman, BSc, MD, Fellow at CARE a, Su Yen Khong, MBChB, MRCOG,
Fellow at CARE a, Andy Liew, MBBS, BSc(Hons), FANZCA a,
Stephen Ford, MBBS, BSc(Hons), FANZCA, VMO Anaesthetist a,
George Condous, MRCOG, FRANZCOG, Associate Professor b*

a Centre for Advanced Reproductive Endosurgery, (CARE), Royal North Shore Hospital, University of Sydney, Sydney, Australia
b Early Pregnancy, Acute Gynaecology and Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School,
University of Sydney, Nepean Hospital, Sydney, Australia


ABSTRACT

With increasing adoption of laparoscopic surgery in gynaecology, there has been a corresponding rise in the types and rates of complications reported. This article sets out to classify complications associated with laparoscopy according to the phases of the surgery; assess the incidence, the mechanisms, the presentations; and recommend methods for preventing and dealing with complications in laparoscopic surgery. Its aim is to promote a culture of risk management based on the development of strategies to improve patient safety and outcome.

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