Postoperative pulmonary complications after gynecologic surgery

Int J Gynaecol Obstet. 2006 Apr;93(1):74-6. doi: 10.1016/j.ijgo.2006.01.014. Epub 2006 Mar 9.

Abstract

Objective: Investigate the frequency of, and risks for postoperative pulmonary complications after surgery for non-malignant gynecologic disorders.

Method: A retrospective component included medical record data for one year. A prospective component enrolled 300 patients consecutively who were scheduled for gynecologic surgeries.

Result: Postoperative pulmonary complications occurred in 1.22% of 328 open abdominal procedures in the retrospective study, and 2.16% of 232 in the prospective study. Pooling the data yielded a frequency estimate of 1.61%. Mean hospital length of stay (pooled data) increased 1.75 days in those with postoperative pulmonary complications. Smoking was the only significant risk factor (relative risk=3.9 using pooled data).

Conclusion: Postoperative pulmonary complications after surgery for non-malignant gynecologic disorders are infrequent but increase hospital length of stay. Smokers are at increased risk.

MeSH terms

  • Adult
  • Female
  • Gynecologic Surgical Procedures / adverse effects*
  • Humans
  • Hysterectomy
  • Length of Stay
  • Lung Diseases / epidemiology
  • Lung Diseases / etiology*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology*
  • Prospective Studies
  • Retrospective Studies
  • Risk Factors
  • Smoking / adverse effects