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Gynecology There are many thousands of gynecologic procedures performed every year and this sheer volume means that mistakes will be made and innocent women will come to harm. Unfortunately, due to the personal nature of these procedures, many of these women suffer injury in in silence.

Three of the most common gynecologic procedures encountered in our practice are (1) gynecologic laparoscopy; (2) hysterectomy; and (3) sterilization (tubal ligation).

Red Flags

The following is a list of some factors which raises the level of suspicion in gynecology cases:

• Unexpected death following any gynecologic procedure

• Hysterectomy performed on a woman younger than 30 years (unless it is for cancer)

• Unplanned readmission within 14 days of the operation

• Admission after a return visit to the ER department for the same problem

• Significant post-operative infection

• Unplanned admission to a special unit (e.g. ICU)

• Planned ambulatory or day surgery patient who is subsequently admitted

• Gynecologic surgery where more than 2 unit of blood are required or where the post-operative hemoglobin has fallen dramatically

• Unplanned removal, injury or repair of an organ during an operative procedure

• Antibiotics started more than 24 hours after surgery

• Removal of a follicular cyst or corpus luteum of the ovary

• Removal of uterus weighing <280 g for leiomyomata (uterine fibroids)

• Discrepancy between the pre-operative diagnosis and post-operative pathology findings

Last modified 10/10/07