SURGICAL EXPERIENCE
The following table includes all major procedures since 1995. Some minor procedures have been omitted. Since the database has been running A/Prof Cooper has performed about 97% of operations without a large abdominal incision.
Commentary on these results is provided here.
The following results are current as at end January 2012:
|
Total |
Operative Laparoscopy | Diagnostic Laparoscopy | Excision of Endo | Major Vaginal |
Abdominal |
Bowel Resection |
|
7157
|
3680
|
369
|
1127
|
403
|
129
|
234
|
Endometriosis Surgery Results
|
Total |
Severe | Moderate | Mild | Bowel Resection | ||
|
1127
|
444
|
438
|
245
|
234
|
||
|
39%
|
39%
|
22%
|
21%
|
| Procedure | Number | % |
|
Total excision of endometriosis
|
1127
|
|
|
Including endometrioma (ovarian chocolate cyst)
|
285
|
25
|
|
Incuding bowel resection
|
234
|
21
|
|
Unplanned repeat endometriosis surgery
|
105 |
9
|
|
No endometriosis found
|
39
|
3
|
|
Endometriosis present at repeat surgery
|
66
|
6
|
|
Repeat surgery for endometrioma (cyst) recurrence (%/initial endometrioma)
|
26
|
9
|
|
Overall hysterectomy (endometriosis patients)
|
65
|
6
|
Please note that the above results should be interpreted with caution. It is possible that the reoperation rates reflects a lower number than reality as some patients may have had repeat surgery of which A/Prof Cooper is not aware.
COMPLICATIONS
| Major Laparoscopic Complications#** | Published Rate | Cooper's Rate |
| death | 0.06/1000** | 0 |
| major complication | 5.23/1000** | 3/1000 |
| excision of endometriosis | 8/1000 |
# Major defined as those requiring laparotomy
** Querleu et al, "Complications of gynaecological laparoscopic surgery" Gyn Endoscopy 1993 2, 3-6
RANZCOG CLINICAL INDICATORS
(For 6 months to end of November 2011 - see here for guidelines and definitions. Institution data tracked elsewhere)
- CI 1.1 Blood transfusion 2/179 1.1%
- CI 2.1 Major viscous damage (excludes laparoscopy) 0/2 0%
- CI 3.1 Injury to major viscous (only laparoscopy) 1/132 0.8%
- (inadvertent rectal injury noted and repaired no sequaelae, see comments)
- CI 3.2 Ureter injury at laparoscopic hysterectomy 0/6 0%
- CI 3.3 Bladder injury at laparoscopic hysterectomy 0/6 0%
| PLEASE NOTE Many of A/Prof Cooper's patients are referred from other gynaecologists and require procedures such as bowel surgery. These patients are at higher surgical risk than uncomplicated patients. He is happy to discuss his complication profile and provide further information. |