[Accidents and incidents in gynecologic surgery]

Gynecologic surgery often entails meticulous dissection in areas close to the bladder, rectum, ureters and major vessels of the pelvis. The close anatomical relationship between these bodies that frequently makes are affected during pelvic surgery. When a complication occurs, it is vital to recognize and treat appropriately, emphasizing that gynecologists should handle its own complications and when they exceed the capacities of their own specialty, as in the case of unusual or complex lesions, should be sent assistance of a colleague in another specialty to solve the problem. To avoid intraoperative or injury is very important to timely diagnose an adequate knowledge of anatomy, surgical techniques using methodical and meticulous, with delicate sharp dissection and manipulation of tissues with a high index of suspicion constant in addition to routine cystoscopy after surgery to rule out injury. Once diagnosed the injury, repairing it at primary surgery is usually easier, successful and results in less morbidity.