TY - JOUR ID - 62141 TI - Iatrogenic Gastrointestinal Injuries During Obstetrical and Gynecological Operation JO - Archives of Trauma Research JA - ATR LA - en SN - 2251-953X AU - Mesdaghinia, Elaheh AU - Abedzadeh-Kalahroudi, Masoumeh AU - Hedayati, Mehrdad AU - Moussavi-Bioki, Nushin AD - Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, IR Iran AD - Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran AD - Deputy of Health, Kashan University of Medical Sciences, Kashan, IR Iran AD - Department of General Surgery, Kashan University of Medical Sciences, Kashan, IR Iran Y1 - 2013 PY - 2013 VL - 2 IS - 2 SP - 81 EP - 84 KW - Injuries KW - Gynecology KW - Surgery DO - 10.5812/atr.12088 N2 - Background Gastrointestinal Injuries (GI) during gynecological operation are uncommon but proper management of these injuries is very important. Objectives The aim of this study was to review the causes and management of gastrointestinal injuries during gynecological and obstetrical operations. Patients and Methods In this descriptive retrospective study, 25 patients with gastrointestinal injuries during gynecological and obstetrical operation at Shabihkhani Maternity Hospital in Kashan city were reviewed. Demographic data such as age, gravid, parity, type of surgery or procedure, history of laparotomy, the surgical operation, injury site, time of diagnosis and method of treatment were extracted from medical records. Results The mean age of women was 33.2 ± 7.57 years. 44% of the patients had a history of abdominal scar. 32% of all GI injuries occurred during total abdominal hysterectomy (TAH). The small bowel was injured in 36% of cases. 52% of injuries were diagnosed during the operation and the mean time of injury diagnosis was 2.8 ± 0.9 days. Conclusions All of the gynecologic surgeons must be aware of gastrointestinal injuries and should anticipate injury to these organs especially in high-risk patients for decreasing patient morbidity. UR - https://archtrauma.kaums.ac.ir/article_62141.html L1 - https://archtrauma.kaums.ac.ir/article_62141_70fc126972504ed348ca72c3ab0a4636.pdf ER -