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Iatrogenic hemorrhagic complications in gynecologic laparoscopies--report of 2 cases with a fatal course
Authors:E Lignitz  K Püschel  P Saukko  E Koops  W Mattig
Abstract:Endoscopy and laparoscopy are part of modern gynecology. Using them, however, implies the occurrence of certain complications. The rate of complications, according to international statistics, about 3.5 per thousand with a lethality rate of 0.02 per thousand, is significantly influenced by the practitioner's personal experience and skill. The most relevant complication is hemorrhage. As a result of the patient's position, the aorta and pelvic arteries are most endangered. The symptoms of complications should be kept in mind by the physician, as well as the methods of rendering immediate medical support. Two cases with a fatal outcome are illustrated, which were caused by ignorance of an acute and slow hemorrhage, respectively. Publishing them could help to prevent further such cases.
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