SpringerLink
Log in

Gynäkologisch-geburtshilfliche Notfälle − Komplikationen bei endoskopischen Eingriffen

Complications of gynecologic and obstetric emergency endoscopic interventions

  • Leitthema
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

Minimal-invasive, endoskopische Eingriffe und Operationstechniken gehören zum Standardrepertoire der operativen Gynäkologie und bieten eine Vielzahl von Möglichkeiten, typische und seltene Erkrankungsbilder auf elegante und wenig traumatisierende Weise zu behandeln. Auf diesem Gebiet hat die Gynäkologie in den letzten Jahrzehnten große Erfahrungen sammeln können, viele endoskopische Operationsmethoden haben sich zu Standardverfahren etabliert, und innovative Therapieansätze bei neuen Indikationen werden fortwährend erprobt. Damit dieses wichtige operative Teilgebiet sicher und erfolgreich angewendet werden kann, ist es jedoch von entscheidender Bedeutung für den Operateur, mögliche Komplikationen und Risiken zu kennen und diese bei der Indikationsstellung, der Aufklärung der Patientin und der Operation selbst zu berücksichtigen. Der Übersichtartikel soll über die typischen, aktuell berichteten Komplikationen der gynäkologischen Endoskopie informieren und dem Operateur Empfehlungen zum richtigen Management an die Hand geben.

Abstract

Minimally invasive surgical interventions and techniques belong to the standard repertoire of gynecologic surgery and provide a multitude of possibilities to treat typical and seldom gynecologic diseases in an elegant and less traumatic way. Gynecology has gathered a great deal of experience in this field and many endoscopic surgical techniques have been established as standard procedures; new, innovative therapeutic approaches are continuously being evaluated. To make sure that this important surgical specialty can be offered in a safe and successful manner, knowledge about potential complications is of greatest importance for the gynecologic surgeon. This has to be considered within informed consent of the patient as well as within surgery itself. This review article provides an overview of typical, currently reported complications of gynecologic oncology as well as recommendations for gynecologic surgeons about correct management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Abu-Rustum NR, Rhee EH, Chi DS et al (2004) Subcutaneous tumor implantation after laparoscopic procedures in women with malignant disease. Obstet Gynecol 103:480

    Article  PubMed  Google Scholar 

  2. Aydeniz B, Gruber IV, Schauf B et al (2002) A multicenter survey of complications associated with 21,676 operative hysteroscopies. Eur J Obstet Gynecol Reprod Biol 104:160

    Article  PubMed  CAS  Google Scholar 

  3. Bateman BG, Kolp LA, Hoeger K (1996) Complications of laparoscopy: Operative and diagnostic. Fertil Steril 66:30–35

    PubMed  CAS  Google Scholar 

  4. Beraldo S, Dodds SR (2006) Lower limb acute compartment syndrome after colorectal surgery in prolonged lithotomy position. Dis Colon Rectum 49(11):1772–1780

    Article  PubMed  Google Scholar 

  5. Boike GM, Miller CE, Spirtos NM et al (1995) Incisional bowel herniations after operative laparoscopy: a series of nineteen cases and review of the literature. Am J Obstet Gynecol 172:1726

    Article  PubMed  CAS  Google Scholar 

  6. Champault G, Cazacu F, Taffinder N (1996) Serious trocar accidents in laparoscopic surgery: A French survey of 103,852 operations. Surg Laparosc Endosc 6(5)367–370

    Google Scholar 

  7. Chandler JG, Corson SL, Way LW (2001) Three spectra of laparoscopic entry access injuries. J Am Coll Surg 192(4):478–490

    Article  PubMed  CAS  Google Scholar 

  8. Chapron C, Querleu D, Bruhat MA et al (1998) Surgical complications of diagnostic and operative gynaecological laparoscopy: A series of 29,966 cases. Hum Reprod 13:867–872

    Article  PubMed  CAS  Google Scholar 

  9. Crist DW, Gadacz TR (1993) Complications of laparoscopic surgery. Surg Clin North Am 73:265–289

    PubMed  CAS  Google Scholar 

  10. Farooqui MO, Bazzoli JM (1996) Significance of radiologic evidence of free air following laparoscopy. J Reprod Med 16:119

    Google Scholar 

  11. Granata M, Tsimpanakos I, Moeity F, Magos A (2010) Are we underutilizing Palmer’s point entry in gynecologic laparoscopy? Fertil Steril 64(7):2716–2719

    Article  Google Scholar 

  12. Härkki-Siren P, Kurki T (1997) A nationwide analysis of laparoscopic complications. Obstet Gynecol 89(1):108–112

    Article  PubMed  Google Scholar 

  13. Härkki-Siren P, Sjoberg J, Kurki T (1999) Major complications of laparoscopy: A follow-up Finnish study. Obstet Gynecol 94: 94–98

    Article  PubMed  Google Scholar 

  14. Hashizume M, Sugimachi K (1997) Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc 11:1198–1201

    Article  PubMed  CAS  Google Scholar 

  15. Hasson HM, Rotman C, Rana N et al (2000) Open laparoscopy: 29-year experience. Obstet Gynecol 96:763–766

    Article  PubMed  CAS  Google Scholar 

  16. Hulka J, Peterson HB, Phillips JM et al (1995) Operative laparoscopy: American Association of Gynecologic Laparoscopists‘ 1993 membership survey. J Am Assoc Gynecol Laparos 2:133–136

    Article  CAS  Google Scholar 

  17. Jansen FW, Kapiteyn K, Trimbos-Kemper T et al (1997) Complications of laparoscopy: A prospective multicenter observational study. Br J Obstet Gynaecol 104:595–600

    Article  PubMed  CAS  Google Scholar 

  18. Jansen FW, Vredevoogd CB, Ulzen K van (2000) Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol 96:266

    Article  PubMed  CAS  Google Scholar 

  19. Jansen FW, Kolkman W, Bakkum EA et al (2004) Complications of laparoscopy: an inquiry about closed versus open entry technique. Am J Obstet Gynecol 190:634

    Article  PubMed  Google Scholar 

  20. Kadar N, Reich H, Liu CY et al (1993) Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 168:1493

    PubMed  CAS  Google Scholar 

  21. Lehmann-Willenbrock E, Riedel HH, Mecke H et al (1992) Pelviscopy/laparoscopy and its complications in Germany, 1949–1988. J Reprod Med 37:671–677

    PubMed  CAS  Google Scholar 

  22. Leonhard F, Lecuru F, Rizk E, et al (2000) Perioperative morbidity of gynecologic laparoscopy. A prospective monocenter observational study. Acta Obstet Gynecol Scand 79:129–134

    Article  Google Scholar 

  23. Lethaby A, Hickey M, Garry R, Penninx J (2009) Endometrial resection/ablation techniques for heavy menstrual bleeding. Cochrane Database Syst Rev:CD001501

    Google Scholar 

  24. Levy BS, Hulka JF, Peterson HB et al (1994) Operative laparoscopy: American Association of Gynecologic Laparoscopists, 1993 membership survey. J Am Assoc Gynecol Laparosc 1:301–305

    Article  PubMed  CAS  Google Scholar 

  25. Mac Cordick C, Lecuru F, Rizk E et al (1999) Morbidity in laparoscopic gynecologic surgery: Results of a prospective single-center study. Surg Endosc 13:57–61

    Article  Google Scholar 

  26. Magrina JF (2002) Complications of laparocopic surgery. Clin Obstet Gynecol 45:469–80

    Article  PubMed  Google Scholar 

  27. Malzoni M, Tinelli R, Cosentino F et al (2009) Laparoscopic radical hysterectomy with lymphadenectomy in patients with early cervical cancer: our instruments and technique. Surg Oncol 18(4):289–97. Epub 2008 Sep 19. Review

    Article  PubMed  Google Scholar 

  28. Martín-Malagón A, Arteaga I, Rodríguez L (2007) Abdominal wall hematoma after laparoscopic surgery: early treatment with selective arterial transcatheter embolization. Laparoendosc Adv Surg Tech A 17(6):781–783

    Article  Google Scholar 

  29. Mirhasehmi R, Harlow BL, Ginsburg ES et al (1998) Predicting risk of complications with gynecologic laparoscopic surgery. Obstet Gynecol 92:327–331

    Article  Google Scholar 

  30. Montz FJ, Holschneider CH, Munro MG (1994) Incional bowel herniation: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 84:881

    PubMed  CAS  Google Scholar 

  31. Peterson HB, DeStefano F, Rubin GL et al (1983) Deaths attributable to tubal sterilization in the United States, 1977–1981. Am J Obstet Gynecol 146:131–136

    PubMed  CAS  Google Scholar 

  32. Phillips JM, Hulka J, Hulka B et al (1978) American Association of Gynecologic Laparoscopists‘ 1976 membership survey. J Reprod Med 21:3–6

    PubMed  CAS  Google Scholar 

  33. Quasarano RT, Kashef M, Sherman SJ et al (1999) Complications of gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 6:317–321

    Article  PubMed  CAS  Google Scholar 

  34. Querleu D, Chapron C (1995) Complications of gynecologic laparoscopic surgery. Curr Opin Obstet Gynecol 7:257–261

    PubMed  CAS  Google Scholar 

  35. Romanowski L, Reich H, McGlynn F et al (1993) Brachial plexus neuropathies after advanced laparoscopic surgery. Fertil Steril 60:729–732

    PubMed  CAS  Google Scholar 

  36. Saidi MH, Vancaillie TG, White AJ et al (1996) Complications of major operative laparoscopy. A review of 452 cases. J Reprod Med 41:471–476

    PubMed  CAS  Google Scholar 

  37. Shulman SG, Bell CL, Hampf FE (2006) Uterine perforation and small bowel incarceration: sonographic and surgical findings. Emerg Radiol 13:43

    Article  PubMed  Google Scholar 

  38. Tinelli R, Malzoni M, Cicinelli E et al (2011) Is early stage endometrial cancer safely treated by laparoscopy? Complications of a multicenter study and review of recent literature. Surg Oncol 20(2):80–87, Epub 2009 Review

    Article  PubMed  Google Scholar 

  39. Tomassetti C, Meuleman C, Vanacker B, D’Hooghe T (2009) Lower limb compartment syndrome as a complication of laparoscopic laser surgery for severe endometriosis. Fertil Steril 92(6):2038.e9–e12

    Article  PubMed  Google Scholar 

  40. Yenen MC, Dede M, Alanbay I et al (2009) Port-site metastasis after laparoscopic extraperitoneal paraaortic lymphadenectomy for stage IIb squamous cell carcinoma of the cervix. Minim Invasive Gynecol 16(2):227–230

    Article  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Universitäts-Frauenklinik Heidelberg, Voßstr. 9, 69115, Heidelberg, Deutschland

    M.H.R. Eichbaum

Authors
  1. M.H.R. Eichbaum
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M.H.R. Eichbaum.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eichbaum, M. Gynäkologisch-geburtshilfliche Notfälle − Komplikationen bei endoskopischen Eingriffen. Gynäkologe 45, 190–198 (2012). https://doi.org/10.1007/s00129-011-2873-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00129-011-2873-9

Schlüsselwörter

Keywords

Search

Navigation