Major Perioperative Complications of Benign Gynecologic Procedures at a University-Affiliated Hospital

Background: With the increasing use of minimally invasive techniques for gynecologic procedures, women are at a low risk peri-operative complications. The purpose this study was to determine incidence and factors major intra or postoperative complications among undergoing benign surgeries. Methods: We conducted retrospective observational all who underwent surgery in 2016-2017 University-Affiliated community hospital. Pregnant women, malignancy cases, hysteroscopic minor vulvar procedures were excluded. Primary outcome composite intraoperative and/or 30-day requiring medical surgical management. Logistic regression identified significant patient, surgeon associated with Results: Of 975 patients included, 53 experienced (5.4%). Mean age 47.7 ± 13.8 years. BMI 27.1 5.8 kg/m2. Prior abdominal (laparotomy laparoscopy) (adjusted odds ratio [OR]= 2.01, 95%CI 1.05-3.83) emergency OR= 19.54, 2.99-127.54) significantly Surgeon volume 1-2 operative days per month OR=0.30, 0.10 - 0.87) 40-64 years OR=0.24, 0.11- 0.56) had protective effect on Conclusions: Among our sample, 5.4% from surgery. Complications rare, even absence robotic equipment. Center-specific data discussion increased morbidity prior should be considered pre-operative patient counselling.