5,926 hysterectomies: complications described by Clavien–Dindo classification

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dc.contributor.authorAlliende, Rodrigo
dc.contributor.authorCarrasco, Álvaro
dc.contributor.authorLevancini, Marco
dc.contributor.authorKovoor, Elias
dc.contributor.authorGuzmán Rojas, Rodrigo
dc.contributor.authorMiranda, Ignacio
dc.date.accessioned2022-03-23T20:52:32Z
dc.date.available2022-03-23T20:52:32Z
dc.date.issued2021
dc.description.abstractHysterectomy is the most common major gynaecological surgery. Due to its high volume, the analysis of its results is relevant. The objective of this study was to describe intraoperative complications and reoperations, for both benign and malignant causes, using the Clavien–Dindo classification (approved by local ethics committee, number 100220). Between 2000 and 2019, 5926 elective hysterectomies were performed, of which 90.2% were for benign aetiology and 9.8% for malignant causes. The abdominal route was 52.7%, vaginal 40.1% and laparoscopic 7.2%. Intraoperative complications and reoperations (grade III Clavien–Dindo) were 4% and 2.1%, respectively. Oncological surgery had significantly more intraoperative complications (10% vs. 3.4%) and reoperations (3.6% vs. 1.9%) than benign procedures. Noteworthy, intraoperative complications required a new operation in only 3.4% for malignant and 2.8% for benign surgery. Our data showed the relevance of detecting and rectifying intraoperative complications during surgery, which consequently leads to a lower reoperation rate, minimising postoperative morbidity and mortality for patients.es
dc.description.versionVersión publicadaes
dc.identifier.citationRodrigo I. Alliende , Álvaro M. Carrasco , Marco Levancini , Elias Kovoor , Rodrigo A. Guzmán-Rojas & Ignacio Miranda-Mendoza (2021): 5,926 hysterectomies: complications described by Clavien–Dindo classification, Journal of Obstetrics and Gynaecology, https://doi.org/10.1080/01443615.2020.1835843es
dc.identifier.urihttps://doi.org/10.1080/01443615.2020.1835843es
dc.identifier.urihttp://hdl.handle.net/11447/5790
dc.language.isoenes
dc.subjectObstetricses
dc.subjectHysterectomyes
dc.subjectReoperation gynaecologyes
dc.subjectClavien–Dindoes
dc.title5,926 hysterectomies: complications described by Clavien–Dindo classificationes
dc.typeArticlees
dcterms.sourceJournal of Obstetrics and Gynaecologyes

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