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Bowel, ureteric or bladder injury.
Major complications were classified as follows: Major haemorrhage: requiring transfusion or reoperation Bowel, ureteric or bladder injury Deep venous thrombosis and pulmonary embolus (diagnosed by ultrasound, angiography, perfusion/ventilation scintigraphy or CT scan) Reoperation for postoperative bleeding or unintended laparotomy.
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15.8% of patients were asymptomatic and the reason for admission was varied including bowel obstruction, elective retroperitoneal lymph node dissection and ureteric stenting of hydronephrosis.
Table 1 Description of complications: major and minor [15] Major Minor Hemorrhage requiring transfusion Hemorrhage not requiring transfusion Hematoma requiring surgical drainage Hematoma: spontaneous drainage Bowel injury Infection: chest, urinary, wound, pelvic Bladder injury Deep vein thrombosis Ureteric injury Others Pulmonary embolus Conversion to laparotomy Wound dehiscence Fistula .
Eight cases involved ureteric blockage.
Bowel Dis.
Knowledge of ureteric anatomy is essential for ureteric injury prevention in laparoscopic gynecologic surgery.
Bladder and bowel problems.
In 29 cases, the ureteric damage was diagnosed intraoperatively.
Bowel movement changes.
Inflamm Bowel Dis.
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