The changing nature of elective laparoscopic surgery: A review over a 7 year period in a reproductive surgery unit

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AI-generated summary by claude@2026-06, 2026-06-09

Laparoscopic procedures in a reproductive surgery unit increased from 1991-1997, with adhesiolysis, endometriosis treatment, and ovarian drilling as common cases, while surgery duration and complexity, patient stay determinants, and consultant supervision were analyzed.

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Abstract

There was a significant increase in the number of laparoscopic procedures performed in the Reproductive and Surgery Unit at the Jessop Hospital for Women over the 7 year period from 1991 to 1997. The three most common procedures were adhesiolysis/salpingo-ovariolysis, treatment of endometriosis and ovarian drilling, which together constituted over 80% of all cases. The duration of surgery and the complexity of the cases gradually increased with time. The determinants of patients staying overnight after laparoscopic surgery in decreasing order of importance were: (i) whether they had undergone surgery in the morning or in the afternoon; (ii) the operating time; and (iii) the number of entry ports used. Most (75%) of the laparoscopic procedures were performed or supervised directly by a consultant. In this study period the major complication rate was 0.7%.

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Condition tags

endometriosis

MeSH descriptors

Elective Surgical Procedures Laparoscopy Elective Surgical Procedures Endometriosis Endometriosis Female Hospitalization Humans Laparoscopy Ovary Ovary Postoperative Complications Retrospective Studies Tissue Adhesions Tissue Adhesions

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References (30)

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