| Abstract [eng] |
Even though laparoscopic hysterectomy is a less invasive surgical procedure compared to abdominal hysterectomy, it is still associated with various potential complications. The overall complication rate in laparoscopic hysterectomy for benign pathology ranges from 4 to 14 percent. Aim: The aim of this review is to analyze various complications of laparoscopic hysterectomy that are relevant in clinical practice due to their frequency of occurrence or their significant impact on patients’ quality of life. Objectives: Present a clinical case reflecting a complication of laparoscopic-assisted vaginal hysterectomy. Analyze the literature related to the presented clinical case. Present and discuss other significant complications of laparoscopic hysterectomy as well as possible diagnostic, treatment, and prevention measures. Methodology: A clinical case analysis and a literature review were conducted. A clinical case from the Vilnius University Hospital Santaros klinikos is presented. A literature review was conducted using the PubMed and Google Scholar databases. Relevant articles discussing laparoscopic hysterectomy complications, their incidence, pathophysiology, diagnostic and treatment options, and prognosis were selected. Results: The literature describes a variety of complications related to laparoscopic hysterectomy, with the most common being bleeding, infection, and damage to the urinary system or other adjacent organs. In addition to these more frequent complications, there are also rarer ones, such as vaginal cuff dehiscence or vesicovaginal fistula. All these complications are associated with an increased need for rehospitalization, higher healthcare costs, and a deterioration in quality of life. Conclusions: Although laparoscopic surgery is minimally invasive and the complication rate following such hysterectomies is relatively low, each complication carries a risk to the patient, with some potentially life-threatening. To improve patient outcomes, early diagnosis and appropriate management of complications are crucial. However, to reduce the number of these complications, the most important aspect is prevention, which involves thorough patient evaluation, identification and modification of potential risk factors, proper surgical preparation, and the specialist’s ability to apply their knowledge and experience tailored to each patient to achieve the most effective results. |
