Prevention and Treatment of Intraoperative Complications During Gynecological Laparoscopic Surgery: Practical Tips and Tricks—A Narrative Review

IF 4 3区医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Advances in Therapy Pub Date : 2025-03-19 DOI:10.1007/s12325-025-03165-z

Matteo Giorgi, Giorgia Schettini, Luca La banca, Alberto Cannoni, Alessandro Ginetti, Irene Colombi, Nassir Habib, Ramon Rovira, Francesco Martire, Lucia Lazzeri, Errico Zupi, Gabriele Centini

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Abstract

Several complications can occur during laparoscopic gynecological surgery. The insertion of trocars and the induction of pneumoperitoneum are essential steps, but they can still pose potential risks during laparoscopic surgery. Bowel injuries are the most common during gynecological procedures as a result of thermal damage and trocar placement, while vessel injuries may carry a high mortality rate. Gynecologic surgeons should be aware of the risks associated with laparoscopic procedures and be able to prevent and treat potential complications. We conducted a literature search using three electronic databases (Pubmed/MEDLINE, Google Scholar, Embase) from inception to May 2024 to identify the most common intraoperative gynecological laparoscopic complications, including those related to trocar insertion, bowel, urinary, and vessel injury. The aim of this narrative review is to describe the most common complications during gynecological laparoscopic surgery and to outline the safety rules and techniques necessary for their prevention and treatment.

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妇科腹腔镜手术术中并发症的预防和治疗：实用技巧和技巧-叙述综述。

在腹腔镜妇科手术中可能会出现一些并发症。套管针的插入和气腹的诱导是必不可少的步骤，但它们仍然可能在腹腔镜手术中造成潜在的风险。在妇科手术中，由于热损伤和套管针的放置，肠损伤是最常见的，而血管损伤可能具有很高的死亡率。妇科外科医生应该意识到与腹腔镜手术相关的风险，并能够预防和治疗潜在的并发症。我们对三个电子数据库（Pubmed/MEDLINE，谷歌Scholar， Embase）进行了文献检索，从成立到2024年5月，以确定最常见的术中妇科腹腔镜并发症，包括套管针插入，肠，尿和血管损伤。这篇叙述性综述的目的是描述妇科腹腔镜手术中最常见的并发症，并概述其预防和治疗所需的安全规则和技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Therapy 医学-药学

CiteScore

7.20

自引率

2.60%

发文量

353

审稿时长

6-12 weeks

期刊介绍： Advances in Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all therapeutic areas. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Advances in Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.