Laparoscopic surgical complications : The influence of patient{u2019}s risk factors and surgeon{u2019}s experience / Afaf Ismael Atres Mohammed ; Supervised Mohammed Zayed Abdelaziz , Bahaa Eldin M. Saad Hammad , Reham Fouad Khalil
Material type: TextLanguage: English Publication details: Cairo : Afaf Ismael Atres Mohammed , 2015Description: 99 P. : charts ; 25cmOther title:- المضاعفات الجراحية للمنظار : تأثير عوامل الخطورة في المريضة وخبرة الجراح [Added title page title]
- Issued also as CD
Item type | Current library | Home library | Call number | Copy number | Status | Date due | Barcode | |
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Thesis | قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.15.M.Sc.2015.Af.L (Browse shelf(Opens below)) | Not for loan | 01010110068849000 | |||
CD - Rom | مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.15.M.Sc.2015.Af.L (Browse shelf(Opens below)) | 68849.CD | Not for loan | 01020110068849000 |
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
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.
Issued also as CD
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