2920 A Retrospective Look at Gynecological Surgical Complications

Study Objective The objective of this study is to evaluate the gynecology caseload in our health system and readdress major and minor complications during gynecological surgery. Design A retrospective chart review from 2017-2018 of all gynecology cases performed by attending of various gynecological training including Minimally Invasive Gyn Surgery, Gyn Oncology, Urogynecology and general OBGYN. The chart review looks at all major and minor documented complications from surgery. Setting OR cases from 2017-2018 collected over an entire health system, 21 hospitals in total. Cases include abdominal, laparoscopic and robotic cases in the Northwell health system. Patients or Participants A total of 7375 cases were reviewed, all cases were performed in the OR during 2017-2018. Interventions N/A Measurements and Main Results A total of 7375 cases were reviewed: 4326 laparoscopic, 1653 abdominal, and 1396 robotic. 682 cases were noted to have complications from surgery, which is a 9.2% incidence. Complications were seen in 175 open cases (10.59%), 415 laparoscopic cases (9.59%) and 92 robotic procedures (6.59 %). There were GU complications in 25.14%, intraoperative puncture of an organ in 11.26%, post operative hematoma in 9.2%, intra-operative hematoma/ hemorrhage 3.95%, sepsis in 3.5%, surgical site infection in 3.07%, pulmonary embolism in 2%, DVT was found in 1.90%, intestinal obstruction 0.58%, CV in 0.23%, other in 0.21% Conclusion More surgical complications were seen in abdominal cases versus minimally invasive cases. Out of all the major and minor complications seen in gyn surgery the more common complication were GU complications. Currently in the process of analyzing complications based on surgeon experience and training with the hypothesis that surgeons who operate more and have gynecological training after residency will have fewer complications