2990 Evaluation of the Incidence and Types of Complications in Patients Undergoing for Robot – Assisted Hysterectomy in a Third Level Care Hospital in Mexico

Study Objective To evaluate the incidence and types of complications in patients undergoing Robot-assisted hysterectomy. Design Retrospective study. Setting 3rd level care hospital in Zumpango, State of Mexico. Patients or Participants Women undergoing robotic-assisted laparoscopic hysterectomy. Interventions Robotic-assisted laparoscopic hysterectomy. Interventions A total of 49 patients were included; the main indication for the procedure was uterine myomatosis in 75.5%, abnormal uterine bleeding refractory to treatment in 12.24% and in the rest, endometrial intraepithelial neoplasia, cervical cancer in situ among others. The incidence of complications was 20.40% (10 patients in total), some of them presenting up to two different complications. Complications were classified according to the scale of Claiven and Dindo, finding type I in 58% (most frequent seromas, lesion in the serosa of the sigmoid rectum and a perforation in the posterior cul-de-sac with uterine mobilizer). Type II in 8.3% (one patient with erosive gastritis requiring transfusion) and type III b in 33.3% with two conversions to open surgery (one for hemorrhage and one for non-recoverable equipment failure) and two re interventions (laparotomy due to hemoperitoneum and a laparoscopy for residual abscess drainage) no type IV or V lesions were found. Measurements and Main Results The files of the patients undergoing robotic assisted laparoscopic hysterectomy from May 1, 2014 to April 30, 2019 were analyzed. Conclusion The incidence of complications is similar to that reported in open surgery and discretely larger than laparoscopic, however type I complications were the most frequent. The high incidence of probably due to what we are is a school hospital and surgeons are training period.