Laparoscopic surgery in gynecology:

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This paper explores the techniques and outcomes associated with laparoscopic surgery in gynecological procedures.

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Abstract

ObjectiveTo compare laparoscopic surgery using insufflation of carbon dioxide gas with laparoscopic surgery using abdominal wall retractor in gynecology.SettingUniversity hospital.DesignProspective randomized study.Material and methodsFifty-one patients were assigned to the gasless laparoscopy group, and 52 patients were assigned to the laparoscopy group with pneumoperitoneum. Patients presented with ovarian cyst, endometriosis, acute salpingitis, hydrosalpinx and extra-uterine pregnancy.ResultsNo severe complications were noted. One conversion to laparotomy was performed in each group. Eight gasless laparoscopic procedures were converted into laparoscopy with pneumoperitoneum; difficulties appeared in patients with adhesions following laparotomy and in cases of unsatisfactory exposure of the pelvis. No differences appeared between the two groups in terms of complications, quality of the operative sequelae, and duration of hospitalization.ConclusionGasless surgery is a recent technique and progress in modifying the equipment is necessary to reduce conversions.

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MeSH descriptors

Laparoscopy Pneumoperitoneum, Artificial Pneumoperitoneum, Artificial Surgical Instruments Abdominal Muscles Adult Carbon Dioxide Female Genital Diseases, Female Genital Diseases, Female Humans Laparoscopy Laparotomy Length of Stay Postoperative Complications Prospective Studies

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europepmc
last seen: 2026-07-27T06:15:28.040536+00:00
openalex
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pubmed
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License: CC0 · commercial use OK