The aim of this study is to determine how complications can be avoided and health-care research optimized in gynecological minimally invasive surgery in Europe.
The legal background of the NGER is the Norwegian Health Register Law passed on 18 May 2001 [22]. The Norwegian Health Register Law strictly follows European Human Rights Law article 8 [23] and European Directory for Data Protection article 16 (95/46/EG) [24].
The NGER allows medical research and health service research over a long duration as the patient data can be captured. Written patient consent is mandatory for registration. The managing director of the registry is responsible for daily
Between February 2013 and March 2015, the details of 3.033 patients were completely documented in the registry. The follow-up rate during this period was 82%. Of the registered procedures, 67% were laparoscopies, 30% hysteroscopies, and 3% a combined procedure of laparoscopy and hysteroscopy. The average age was 47.7 years, the average height 167 cm, the average weight 72 kg, and the average BMI 26. The average number of pregnancies in a single patient was 2.2, and the average birth rate was
In Norway, the NGF has published national guidelines for treatment. Nevertheless, the type of treatment and results will vary according to the different departments in which patients are treated, which is often not based on evidence. This results in different regional outcomes after gynecological endoscopic surgery. National operative registers will contribute to quality control and standardized treatment according to the regional guidelines. Infection (mostly urinary tract and wound
Complications of gynecological endoscopic surgery are common, with a significant burden on patient health and cost to society. Avoiding complications is the best form of prevention, and it is thus important to detect risk factors for surgical complications. The ability of medical reports to detect risk factors is limited. Mandatory web-based registries such as the NGER allow broad registration including sociodemographic factors, related comorbidity, history of previous surgery, documentation of
The authors report no conflict of interest. Obesity, diabetes mellitus, heart disease, hypertension, and previous surgery due to cervical carcinoma in situ are risk factors for complications of gynecological endoscopy. Low educational status is a risk factor for reoperations after gynecological endoscopy. Regional differences are noted in the complication rate of gynecological endoscopy. Intraoperative complications on gynecological surgery have an impact on the rate of postoperative Practice points
