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Postoperative pulmonary complications after gynecologic surgery
S Pappachen1, P R Smith, S Shah
1The Department of Obstetrics and Gynecology, and the Division of Pulmonary Medicine, Long Island College Hospital, Brooklyn, New York, USA.
Objective:
Investigate the frequency of, and risks for postoperative pulmonary complications after surgery for non-malignant gynecologic disorders.
Method:
A retrospective component included medical record data for one year. A prospective component enrolled 300 patients consecutively who were scheduled for gynecologic surgeries.
Result:
Postoperative pulmonary complications occurred in 1.22% of 328 open abdominal procedures in the retrospective study, and 2.16% of 232 in the prospective study. Pooling the data yielded a frequency estimate of 1.61%. Mean hospital length of stay (pooled data) increased 1.75 days in those with postoperative pulmonary complications. Smoking was the only significant risk factor (relative risk=3.9 using pooled data).
Conclusion:
Postoperative pulmonary complications after surgery for non-malignant gynecologic disorders are infrequent but increase hospital length of stay. Smokers are at increased risk.
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