title: European operative registry to avoid complications in operative gynecology.
abstract: The aim of this study is to determine how complications can be avoided in gynecological minimally invasive surgery in Europe. The Norwegian Gynecological Endoscopic Registry (NGER) facilitates medical research over a long duration. Can experiences from the Norwegian registry be used to develop a European registry to avoid complications? To answer this question, we used the NGER data from February 2013 until March 2015 to analyze the complications of gynecological endoscopy. The registry includes sociodemographic factors, related comorbidity, previous surgery, present procedure, and intraoperative complications. Postoperative complications were identified with a questionnaire administered 4 weeks after surgery. The risk factors leading to complications in gynecological endoscopy were found to be obesity, diabetes mellitus, heart disease, hypertension, previous surgery due to cervical carcinoma in situ, and low educational level. Regional differences in the complication rate were noted. National web-based operation registries such as the NGER can identify the risk factors for complications of gynecological endoscopic surgery and can help improve the outcome after surgery. The experience from NGER can be used to establish a European register.
authors.affiliation: Vestfold Hospital Trust, Gynaecological Department, Tønsberg, Norway. Electronic address: andreas.putz@siv.no.
authors.forename: Andreas
authors.initials: A
authors.lastname: Putz
authors.affiliation: Vestfold Hospital Trust, Gynaecological Department, Tønsberg, Norway.
authors.forename: Tonje
authors.initials: T
authors.lastname: Bohlin
authors.affiliation: Vestfold Hospital Trust, Gynaecological Department, Tønsberg, Norway.
authors.forename: Martin
authors.initials: M
authors.lastname: Rakovan
authors.affiliation: Vestfold Hospital Trust, Gynaecological Department, Tønsberg, Norway.
authors.forename: Ariane Maria
authors.initials: AM
authors.lastname: Putz
authors.affiliation: Pius-Hospital Oldenburg, Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.
authors.forename: Rudy Leon
authors.initials: RL
authors.lastname: De Wilde
mesh_terms: D003920:Diabetes Mellitus / Q000453:epidemiology; D004522:Educational Status; D005060:Europe; D005260:Female; D006331:Heart Diseases / Q000453:epidemiology; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015907:Hysteroscopy / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects*; D009664:Norway / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D012042:Registries; D012307:Risk Factors; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D002578:Uterine Cervical Dysplasia / Q000601:surgery
keywords: complications; hysteroscopy; laparoscopy; operation registry