Abstract
This quote provides a very good introduction to this chapter. Complications occur in all forms of gynecological surgery. They can be reduced by a variety of strategies. The view expressed by the consultant quoted above may reflect a number of points. First, the consultant’s surgical workload or practice may be too small. Unless complications occur frequently, the practitioner with a small practice will not see many problems within an assessable time frame. Therefore, there will be a lack of insight with regard to these problems or even a selective memory, leading the practitioner to believe that his or her surgeries have few or no complications. This trend has been compounded in the National Health Service (NHS) by poor data collection and no agreement regarding the minimum data set relating to complications. Audit of outcomes and complications is sporadic and usually covers only a short time period. This deficit also leads to complacency with respect to complications.
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References
NHS Executive. Improving Outcomes in Gynaecological Cancers-The Manual. London: NHS Executive; July 1999.
Bristow RE, Tomacruz RS, Armstrong DK, Trimble EL, Montz FJ. Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: a meta-analysis. J Clin Oncol. 2002;20:1248–1259.
Shepherd JH. Revised FIGO staging for gynaecological cancer. Br J Obstet Gynaecol. 1989;96:889–892.
Shepherd JH, Ngan HY, Neven P, Fryatt I, Woodhouse CR, Hendry WF. Multivariate analysis of factors affecting survival in pelvic exenteration. Int J Gynecol Cancer. 1994;6:361–370
Wight R, Baldock M. Report from the Working Party on Co-Morbidity Assessment in Cancer-Its Role in the National Core Cancer Dataset. Exeter, England: NHS Information Authority; 2001.
Arbous MS, Grobbee DE, van Kleef JW, et al. Mortality associated with anaesthesia: a qualitative analysis to identify risk factors. Anaesthesia. 2001;56:1141–1153.
Guaschino S, De Santo TD, De Seta F. New perspectives in antibiotic prophylaxis for obstetric and gynaecological surgery. J Hosp Infect. 2002;50(suppl A):S13–S16.
Al-Eidan FA, McElnay JC, Scott MG, Kearney MP. Clostridium difficile-associated diarrhoea in hospitalised patients. J Clin Pharm Ther. 2000;25:101–109.
Crandon AJ, Koutts J. Incidence of post-operative deep vein thrombosis in gynaecological oncology. Aust N Z J Obstet Gynaecol. 1983;23:216–219.
Nunns D, Williamson K, Swaney L, Davy M. The morbidity of surgery and adjuvant radiotherapy in the management of endometrial carcinoma. Int J Gynecol Cancer. 2000;10:233–238.
Andersen BL, van Der Does J. Surviving gynecologic cancer and coping with sexual morbidity: an international problem. Int J Gynecol Cancer. 1994;4:225–241.
Tingulstad S, Hagen B, Skjeldestad FE, Halvorsen T, Nustad K, Onsrud M. The risk-of-malignancy index to evaluate potential ovarian cancers in local hospitals. Obstet Gynecol. 1999;93:448–452.
Luesley D, Lawton F, Blackledge G, et al. Failure of second-look laparotomy to influence survival in epithelial ovarian cancer. Lancet. 1988;8611:599–603.
Luijendijk RW, Hop WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–398.
Junor EJ, Hole DJ, McNulty L, Mason M, Young J. Specialist gynaecologists and survival outcome in ovarian cancer: a Scottish national study of 1866 patients. Br J Obstet Gynaecol. 1999;106:1130–1136.
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Crawford, R.A. (2008). Complications in Gynecological Oncology. In: O’Donovan, P. (eds) Complications in Gynecological Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-883-8_2
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DOI: https://doi.org/10.1007/978-1-84628-883-8_2
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