Patterns of Postoperative Complications after Gynecologic Surgery and In-hospital Management Strategies
Keywords:
gynecologic surgery, postoperative complications, postpartum hemorrhage, interventional radiology, conservative management, surgical ligation, ERASAbstract
Gynecologic procedures are associated with distinct profiles of intraoperative and postoperative complications that require structured, protocol-based hospital management. Major postoperative complication rates after gynecologic surgery are reported around 3–6%, with systemic infections, wound morbidity, hemorrhage, and organ injury being the most frequent events,. Laparoscopic gynecologic interventions show intraoperative complication rates near 5–6% and postoperative complication rates around 6–7%, most commonly hemorrhage, infection, and ileus. Enhanced Recovery After Surgery (ERAS) pathways have been shown to reduce overall complication rates and length of stay in gynecologic oncology, without increasing readmissions,. For obstetric-gynecologic emergencies such as postpartum hemorrhage, conservative, surgical, and interventional radiology–guided approaches offer differing success rates and resource implications,,. This article summarizes common gynecologic and obstetric postoperative complications, describes in-hospital management principles, and compares available interventional strategies with a focus on postpartum hemorrhage.
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