TY  - BOOK
AU  - Afaf Ismael Atres Mohammed
AU  - Bahaa Eldin Mohamed Saad Hammad , 
AU  - Mohammed Zayed Abdelaziz , 
AU  - Reham Fouad Khalil , 
TI  - Laparoscopic surgical complications : : The influence of patient{u2019}s risk factors and surgeon{u2019}s experience / 
PY  - 2015///
CY  - Cairo : 
PB  - Afaf Ismael Atres Mohammed , 
KW  - Complications
KW  - Laparoscopy
KW  - Risk factors
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics; Issued also as CD
N2  - Objective: To detect whether laparoscopic complications are related to patient{u2019}s  risk factors or surgeon{u2019}s experience. Results: The patients were classified into 2 groups (with and without surgical  complications). 23 complications were recorded. 7 cases had failed procedure and  were converted to laparotomy (conversion rate is 4.6%), while 16 cases (10.6 %)  had surgical injuries. Univariate analysis for the two groups revealed high surgical  complication rate with higher BMI, higher age, previous laparotomy, presence of  peritoneal adhesions, operative procedures, number of trocars used during the  procedure and presence of endometriosis. Surprisingly, the rate of complications  was higher with increased surgeon's experience.  Conclusion: Laparoscopic surgical complications were highly affected by certain  patient's risk factors while the surgeon's experience was not a protective factor  against complications especially abdominal access injuries. History of previous  laparotomy is a major risk factor which increases risk of conversion to open  surgery. Experience can affect the rate of complications during tissue dissection.
ER  -