Intestinal injury in gynecologic surgery: A ten-year experience

Krebs, H B

doi:10.1016/0002-9378(86)90268-1

Cited by 65 publications

(21 citation statements)

References 3 publications

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“…The small bowel was injured in 36% of cases. However in the study by Kerb et al (10), this rate was 75% while Bhatte et al found this rate to be 61.9% (9, 10); these results are different from our findings and this may be due to the type of surgery that involves mainly the large intestine. Forty-four percent of the patients had a history of previous pelvic or abdominal surgery.…”

Section: Discussioncontrasting

confidence: 99%

“…The incidence of bowel injuries is different based on the type of operation, ranging from 0.62 -1.6 per 1000 laparoscopic surgeries (5), to 0.3% in hysterectomy (6), 0.08% in cesarean section (C/S) (7) and 0.04% in normal vaginal delivery (NV/D) (8). Also, overall incidence of bowel injuries is between 0.54% -0.7% (9,10). Approximately one-third of bowel injuries may be diagnosed during the operation (5,9,10).…”

Section: Introductionmentioning

confidence: 99%

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Iatrogenic Gastrointestinal Injuries During Obstetrical and Gynecological Operation

et al. 2013

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Background: Gastrointestinal Injuries (GI) during gynecological operation are uncommon but proper management of these injuries is very important. Objectives: The aim of this study was to review the causes and management of gastrointestinal injuries during gynecological and obstetrical operations. Patients and Methods: In this descriptive retrospective study, 25 patients with gastrointestinal injuries during gynecological and obstetrical operation at Shabihkhani Maternity Hospital in Kashan city were reviewed. Demographic data such as age, gravid, parity, type of surgery or procedure, history of laparotomy, the surgical operation, injury site, time of diagnosis and method of treatment were extracted from medical records. Results: The mean age of women was 33.2 ± 7.57 years. Fourty-four percent of the patients had a history of abdominal scar. Thirty-two percent of all GI injuries occurred during total abdominal hysterectomy (TAH). The small bowel was injured in 36% of cases. Fifty-two percent of injuries were diagnosed during the operation and the mean time of injury diagnosis was 2.8 ± 0.9 days. Conclusions: All of the gynecologic surgeons must be aware of gastrointestinal injuries and should anticipate injury to these organs, especially in high-risk patients for decreasing patient morbidity.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Iatrogenic Gastrointestinal Injuries During Obstetrical and Gynecological Operation

et al. 2013

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“…Therefore, one would surmise that gynecologic oncology complication rates are higher than in general gynecology [12,13]. In particular, when treating gynecologic cancer, the pelvic anatomy may be distorted or obstructed, complicating surgical access and manipulation [14]. There are also issues related to previous radiotherapy and chemotherapy which further predispose a patient to an operative injury [15].…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Genitourinary and Gastrointestinal Complications in Open and Endoscopic Gynecologic Cancer Surgery

Rettenmaier

Abaid

et al. 2014

Oncology

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Objectives: The purpose of this study was to examine the incidence of genitourinary and intestinal tract injuries in an effort to identify which factors might predispose a patient to developing one of these surgical complications. Methods: We retrospectively evaluated the charts of gynecologic cancer patients who were treated at a single medical institution from January 2002 to February 2011. The following study variables were noted for evaluation: age, BMI, cancer origin, disease recurrence, a history of pelvic surgery, surgery type, operative approach and injury classification (genitourinary or gastrointestinal). Results: In our group of 1,618 patients, a total of 47 (2.9%) gastrointestinal and 18 (1.1%) genitourinary tract injuries were encountered. There were no intraoperative-related deaths but 2 patients expired 1 month after surgery. Logistic regression indicated that surgery type, undergoing an open procedure, cancerous involvement of the bowel or genitourinary tract and a history of pelvic surgery were significant predictors of operative injury occurrence [χ² (28) = 167.22; p < 0.001]. Conclusions: We ascertained a relatively lowincidence of gastrointestinal and genitourinary complications. Nevertheless, undergoing an open procedure, a history of pelvic surgery and surgical involvement of the bowel or genitourinary tract were predictive of an increased risk for these aforementioned injuries.

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“…Trocar injuries to the large intestines are reported to occur with frequency of approximately 1 per 1,000 cases [ 70 ] . Due to the high concentration of coliform bacteria in the large intestine, unrecognized injuries can result in serious intra-abdominal infections that can quickly become lifethreatening.…”

Section: Large Intestine Injuriesmentioning

confidence: 99%