Skip to main content

Surgical Complications in Gynaecological Oncology

  • 173 Accesses

Abstract

Surgical complications are inherent in gynaecological oncology surgery because of the extensiveness of surgical procedure, alteration in anatomy by the presence of large tumours and also patient related factors. Frequency of surgical complications depend upon the type and mode of surgery, patient profile, availability of resources, disease factors and surgical expertise. Common complications include haemorrhage, visceral injuries, lymphatic and nerve injuries, infection, paralytic ileus and fluid imbalance. A multidisciplinary approach in decision making, extreme vigilance during surgery, judicious patient tailored treatment choices, early recognition and appropriate management of complications are the cornerstones of successful patient outcome.

Benchmarking of complications is essential for comparison and standardization of surgical performance across different centres. Learning and being open about surgical complications is essential and part of good medical practice which also highlights the importance of honest communication to the patient (Duty of Candour). Complication rates do act as a surrogate marker for quality of surgery.

Keywords

  • Surgical complications
  • Vascular injury
  • Ureteric injuries
  • Haemorrhage

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-94110-9_8
  • Chapter length: 13 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   149.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-94110-9
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book
USD   199.99
Price excludes VAT (USA)
Fig. 8.1
Fig. 8.2

References

  1. Sokol DK, Wilson J. What is a surgical complication? World J Surg. 2008;32(6):942–4.

    CrossRef  Google Scholar 

  2. Institute of Medicine. To err is human: building a safer health system. Washington, DC: The National Academies Press; 1999.

    Google Scholar 

  3. General Medical Council. Good medical practice. 2013. https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/candour%2D%2D-openness-and-honesty-when-things-go-wrong

  4. Aletti GD, Dowdy SC, Podratz KC, Cliby WA. Relationship among surgical complexity, short-term morbidity, and overall survival in primary surgery for advanced ovarian cancer. Am J Obstet Gynecol. 2007;197(6):676.e1–7.

    CrossRef  Google Scholar 

  5. Iyer R, Gentry-Maharaj A, Nordin A, Burnell M, Liston R, Manchanda R, et al. Predictors of complications in gynaecological oncological surgery: a prospective multicentre study (UKGOSOC-UK gynaecological oncology surgical outcomes and complications). Br J Cancer. 2015;112(3):475–84.

    CAS  CrossRef  Google Scholar 

  6. Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187–96.

    CrossRef  Google Scholar 

  7. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13.

    CrossRef  Google Scholar 

  8. Strong VE, Selby LV, Sovel M, Disa JJ, Hoskins W, Dematteo R, et al. Development and assessment of memorial sloan kettering cancer center’s surgical secondary events grading system. Ann Surg Oncol. 2015;22(4):1061–7.

    CrossRef  Google Scholar 

  9. Burnell M, Iyer R, Gentry-Maharaj A, Nordin A, Liston R, Manchanda R, et al. Benchmarking of surgical complications in gynaecological oncology: prospective multicentre study. BJOG. 2016;123(13):2171–80.

    CAS  CrossRef  Google Scholar 

  10. Horvath S, George E, Herzog TJ. Unintended consequences: surgical complications in gynecologic cancer. Womens Health (Lond). 2013;9(6):595–604.

    CAS  CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kavita Singh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Singh, K., Gupta, B. (2022). Surgical Complications in Gynaecological Oncology. In: Singh, K., Gupta, B. (eds) Gynecological Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-94110-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-94110-9_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94109-3

  • Online ISBN: 978-3-030-94110-9

  • eBook Packages: MedicineMedicine (R0)