Laparoscopic Infections in Urogenital and Gynecological System: A Systematic Review

• Main Authors: Hasan Ucmak, Omer Faruk Kokoglu, Mehmet Akif Buyukbese
• Format: Article
• Language: English
• Published: GESDAV 2013-02-01
• Series: Archives of Clinical and Experimental Surgery
• Subjects: Key words: laparoscopy; infection; adrenalectomy; nephrectomy; cystectomy; prostatectomy; hysterectomy; myomectomy
• Online Access: http://www.scopemed.org/fulltextpdf.php?mno=16690

There are several advantages of laparoscopic surgery, which is employed only in the presence of some indications, as follows: minimally invasive procedure, reduced postoperative pain and analgesic use, and short hospital stay. In this paper we examined infections of laparoscopic operations by scanning MEDLINE and PubMed. A total of forty-seven papers were examined using a meta-analytical framework. In studies including a large series in adrenalectomy, the infectious complication rate, including various infections such as pneumonia, urinary tract infection, sepsis, and wound infection, is observed to be less than 1%. While infection is generally not developed during laparoscopy in nephrectomy patients, it may occasionally be seen, generally in the form of wound infection. The infectious complication rate associated with laparoscopic cystectomy was found to be high, which was attributed to surgical inexperience, presence of chronic diseases, and a lack of adequate equipment in hospitals. Complications of infection of prostactomy were not observed after procedures. The infection rate of hysterectomy is low; abscess and urinary tract infection are the most common infectious complications. Myomectomy cases generally showed no infection. Finally, it is associated with a lower wound infection rate and a reduced degree of abdominal damage and incisional hernia due to less scarring. [Arch Clin Exp Surg 2013; 2(1.000): 43-48]