Complications - Salpingectomy, laparoscopic, robot-assisted laparoscopy (DaVinci)

  1. Intraoperative Complications

    Bleeding:

    • Injury to major vessels (A. iliaca, V. cava, ovarian vessels)
    • Diffuse bleeding in the surgical area

    Injuries to adjacent organs:

    • Intestine (small intestine, colon)
    • Ureter
    • Bladder

    Anesthesia-related risks:

    • Allergic reactions to medications
    • Cardiovascular complications (e.g., arrhythmias)
    • Aspiration pneumonia

    CO₂ insufflation complications:

    • Gas embolism
    • Subcutaneous emphysema
  2. Postoperative complications

    Postoperative Bleeding:

    • Hematoma formation

    Infections:

    • Wound infections
    • Abscess formation in the abdominal cavity
    • Peritonitis

    Intestinal and Urinary Problems:

    • Paralytic or mechanical ileus
    • Dysuria or urinary retention due to bladder irritation or injury

    Thrombosis and Embolism:

    • Deep vein thrombosis
    • Pulmonary embolism

    Pain:

    • Chronic pelvic pain
    • Adhesions that can lead to pain and intestinal problems

    Diaphragmatic irritation with shoulder pain

    • Due to residual CO₂ gas after laparoscopy
    • CO₂ gas irritates the diaphragm → radiating shoulder pain through the phrenic nerve
Long-term consequences

Infertility:No possibility of natural pregnancy due to removal of the fallopian tubesNeed for artif

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