Table 1

Characteristics of patients who experienced intraoperative injury from abdominopelvic surgery, Canadian Medical Protective Association civil legal cases, closed 2013–2017

CharacteristicNo. (%) of patients*
All cases
n = 181
Nongynecologic
n =111
Gynecologic
n = 70
Age, median (IQR), yr47 (39–61)54 (38–66)44 (40–50)
Female sex127 (70.2)57 (51.4)70 (100.0)
Body mass index ≥ 3033 (18.2)23 (20.7)10 (14.3)
Previous abdominal or pelvic surgery59 (32.6)28 (25.2)31 (44.3)
ASA classification
 1: normal healthy patient51 (28.2)28 (25.2)23 (32.9)
 2: mild systemic disease90 (49.7)50 (45.0)40 (57.1)
 3: severe systemic disease; non–life-threatening33 (18.2)27 (24.3)6 (8.6)
 4: severe systemic disease; constant threat to life1 (0.6)1 (0.9)0 (0.0)
 Unknown6 (2.2)5 (2.7)1 (1.4)
Surgery acuity
 Elective155 (85.6)87 (78.4)68 (97.1)
 Urgent26 (14.4)24 (21.6)2 (2.9)
Type of surgery
 Cholecystectomy51 (28.2)51 (45.9)
 Hysterectomy alone24 (13.3)24 (34.3)
 Gastrointestinal tract (stomach, bowel, rectum)23 (12.7)23 (20.7)
 Hysterectomy with oophorectomy and/or salpingectomy20 (11.0)20 (28.6)
 Oophorectomy and/or salpingectomy19 (10.5)19 (27.1)
 Hernia repair9 (5.0)9 (8.1)
 Abdominal or pelvic cavity (mesentery, lysis of adhesions, diaphragm)8 (4.4)5 (4.5)3 (4.3)
 Appendectomy7 (3.9)7 (6.3)
 Nephrectomy7 (3.9)7 (6.3)
 Pelvic floor repair4 (2.2)4 (5.7)
 Prostatectomy3 (1.7)3 (2.7)
 Pancreaticoduodenectomy3 (1.7)3 (2.7)
 Other urinary2 (1.1)2 (1.8)
 Liver lobectomy1 (0.6)1 (0.9)
  • ASA = American Society of Anesthesiologists; IQR = interquartile range.

  • * Except where noted otherwise.