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Updated: Jun 30, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[Laparoscopic surgery complications in a reproductive biology service]
Juan Carlos Salcido Fernández1, Gerardo Manuel Pérez Barba, Salvador Hernández Higareda
1Unidad Médica de Alta Especialidad, División de Ginecología, Hospital de Obstetricia y Ginecología, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. jcsalcidof@hotmail.com.mx
Background:
Poor report of difficulties in using laparoscopic technique has limited the knowledge of its advantages and disadvantages.
Objective:
To evaluate complications in patients treated with laparoscopic surgical procedures in a biologic reproductive service,
Material And Methods:
Retrospective study in 525 patients treated with conventional laparoscopy due to any gynecological procedure. All pre- and post-operative variables were considered.
Results:
There were 16 (3%) complications within the 525 patients studied: six (37.5%) cases with uterine perforation, three (18.8%) with wall bleeding, and two (12.5%) with subcutaneous emphysema. The rest of complications (31.2%) were: post-puncture headache (1), anaphylactic reaction (1), perirectal serous laceration (1), anexial hematoma (1), and ovarian vessels bleeding (1). There was a case of wall hematoma and another with ovarian vessels injury that required a second intervention. Patient with anaphylactic shock required intensive care attention and mechanic ventilation. Mean physicians years of experience were 12 +/- 7 (1 to 20 years). During the period of time of the study there were no dead due to gynecologic laparoscopic procedures.
Conclusion:
Gynecological surgical laparoscopy is a viable alternative to traditional surgery due to less postoperative pain, minimal hospital stay, fast recovery, and better esthetic results and less infectious morbidity.
