@article{Busque_Belzile_Rodrigues_Larouche_2022, place={Montreal, Canada}, title={Major Perioperative Complications of Benign Gynecologic Procedures at a University-Affiliated Hospital}, volume={21}, url={https://mjm.mcgill.ca/article/view/960}, DOI={10.26443/mjm.v21i1.960}, abstractNote={<p><u>Background:</u> With the increasing use of minimally invasive techniques for gynecologic procedures, women are at a low risk for peri-operative complications. The purpose of this study was to determine the incidence of and risk factors for major intra or postoperative complications among women undergoing benign gynecologic surgeries.</p> <p><u>Methods:</u> We conducted a retrospective observational study of all women who underwent benign gynecologic surgery in 2016-2017 at a University-Affiliated community hospital. Pregnant women, malignancy cases, and hysteroscopic or minor vulvar procedures were excluded. Primary outcome was composite intraoperative and/or 30-day postoperative complications requiring medical or surgical management. Logistic regression identified significant patient, peri-operative and surgeon risk factors associated with complications.</p> <p><u>Results:</u> Of 975 patients included, 53 patients experienced major intra or postoperative complications (5.4%). Mean age was 47.7 ± 13.8 years. Mean BMI was 27.1 ± 5.8 kg/m<sup>2</sup>. Prior abdominal surgery (laparotomy or laparoscopy) (adjusted odds ratio [OR]= 2.01, 95%CI 1.05-3.83) and emergency surgery (adjusted OR= 19.54, 95%CI 2.99-127.54) were significantly associated with major complications. Surgeon volume of 1-2 operative days per month (adjusted OR=0.30, 95%CI 0.10 - 0.87) and age 40-64 years (adjusted OR=0.24, 95%CI 0.11- 0.56) had a protective effect on the risk of major complications.</p> <p><u>Conclusions:</u> Among patients in our sample, 5.4% experienced major complications from a benign gynecologic surgery. Complications from benign gynecologic surgery are rare, even in the absence of robotic equipment. Center-specific data and a discussion of the increased morbidity associated with with prior abdominal surgery and emergency surgery should be considered for pre-operative patient counselling.</p>}, number={1}, journal={McGill Journal of Medicine}, author={Busque, Andrée-Anne and Belzile, Eric and Rodrigues, Julia and Larouche, Maryse}, year={2022}, month={Oct.} }