{"paper_id":"16347899-f1af-4d2b-bcd7-d27c6e06b2e2","body_text":"Abstract\nOne thousand consecutive laparoscopies were performed by an individual team at University College Hospital, Galway from 1982 to 1990. The mean age of the patients was 34 years (range 15–61). The majority (702) were undertaken for tubal ligation, followed by investigation of infertility (125), pelvic pain (87) and suspected ectopic pregnancy (41). Laparotomies were avoided in 77 patients with pelvic pain and in 26 patients with suspected ectopic pregnancy. A further 73 patients had surgical procedures performed laparoscopically. There were no failed laparoscopies. Minor complications occurred in 1.3% of patients. The commonest difficulty encountered was failed first attempt at pneumoperitoneum (4%). Two patients required laparotomy following laparoscopy, because of intra- abdominal bleeding. Readmissions occurred in 7 patients but again no serious sequelae were recorded. The use of the laparoscope in general gynaecological practice is examined with the safety, diagnostic and therapeutic facilities of the procedure explored.\nSimilar content being viewed by others\nReferences\nOtt, D. O. Ventroscopic illumination of the abdominal cavity in pregnancy. Zhurnal Akusherstwa I. Zhenskikh Boleznei 1901: 15, 7–8.\nJacobaeus, H. C. Uber die Moglishkeit die Zystoskopie bei Undersuchung Seroser Hohlungen anzuwenden. Munchener Medizinisache Wochenschrift 1910: 57, 2090–2092.\nBernheim, B. M. Organoscopy: Cystoscopy of the abdominal cavity. Ann. Surg. 1911: 53, 764–767.\nHulka, J. F. Chapter 1 in Textbook of Laparoscopy. Grune and Stratton Inc. Orlando 1985.\nSteptoe, P. C. Laparoscopy in Gynaecology. Edinburgh, Livingstone, 1967.\nCunanan, R. G., Courey, N. G., Lippes, J. Laparoscopic findings in patients with pelvic pain. Am. J. Obstet, Gynecol. 1983: 146, 589–591.\nStout, A. L., Steege, J. F., Dodson, W. C, Hughes, C. L. Relationship of laparoscopic findings to self-report of pelvic pain. Am. J. Obstet., Gynecol. 1991: 164, 73–79.\nPaterson-Brown, S., Eckersley, J. R. T., Sim, A. J. W., Dudley, H. A. F. Laparoscopy as an adjunct to decision making in the ’Acute Abdomen‘. Br. J. Surg. 1986: 73, 1022–1044.\nNagy, A. G., James, D. Diagnostic laparoscopy. Am. J. Surg. 1989: 157, 490–493.\nLeape, L. L., Ramentofsky, M.L. Laparoscopy for questionable appendicitis - can it reduce the negative appendectomy rate? Ann. Surg. 1980: 191, 410–413.\nReport on Confidential Enquiries into Maternal Deaths in England and Wales. 1982-1984. DHSS Report London, 1989.\nHenderson, S.R. Ectopictubal pregnancy treated by operative laparoscopy. Am. J. Obstet Gynecol. 1989: 160, 1462–1466.\nMagos, A., Baumann, R., Turnbull, A. C. Management of ruptured and unruptured ectopic pregnancies by videopel-viscopy. Lancet 1988: 275–176.\nGordon, A.G.,Magos, A. L. The Development of Laparoscopic Surgery. In: Bailliere’s Clinical Obstetrics and Gynaecology (Sutton, C. J. D., ed.). Bailliere Tindall, London. 1989: (3), 429–449.\nSchaeffer, A. J. (Ed.). Catheter Associated Bacteruria. In: The Urological Clinics of North America. W. B. Saunders and Co., Philadelphia. 1986: 13 (4), 735–747.\nJarrett, J. C. Laparoscopic: direct trochar insertion without pneumoperitoneum. Obstet Gynecol. 1990: 75(4), 725–727.\nChamberlain, G., Brown, J. C. Gynaecological laparoscopy. The Report of the Working Party of the Confidential Enquiry into Gynaecological Laparoscopy. Royal College of Obstetricians and Gynaecologists, London, 1978.\nGrace, P., Quereshi, A., Darzi, A., McEntee, G., Leahy, A., Osborne, H.et al. Laparoscopic Cholecystectomy: a hundred consecutive cases. Ir. Med. J. 1991: 84 (1), 12–14.\nHill, A. D. K., Attewood, S. E. A., Stephens, R. B. Laparoscopic appendectomy is feasible and safe in acute appendicitis. Ir. J. Med. Sc. 1991: 160, 268–270.\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nKehoe, S., Mylotte, M.J. 1000 consecutive laparoscopies in gynaecological practice. I.J.M.S. 162, 33–36 (1993). https://doi.org/10.1007/BF02942897\nIssue date:\nDOI: https://doi.org/10.1007/BF02942897","source_license":"CC0","license_restricted":false}