Experience With Gynaecological Laparoscopy

P Condos
The Australian & New Zealand journal of obstetrics & gynaecology · 1972 · vol. 12(3) , pp. 188–193 · doi:10.1111/j.1479-828x.1972.tb00499.x · PMID:4266262 · W2014123992
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This study reports on 100 gynecological laparoscopies, finding the procedure accurate for diagnosis, often avoiding laparotomy, and effective for sterilization with infrequent minor complications.

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Abstract

Summary: The findings at 100 gynaecological laparoscopics, performed at Hammersmith Hospital, are presented. The procedure was found to present few difficulties, and for the most part permitted accurate diagnosis without exploratory laparotomy. Only 17 of 76 patients investigated for infertility, amenorrhoea, hirsutism, chronic pelvic pain, pelvic mass or suspected ectopic pregnancy were found to require operative treatment. The exclusion of ectopic pregnancy in 10 of 13 suspected cases was particularly rewarding. Laparoscopic sterilization by electro‐coagulation and division of Fallopian tubes in 20 patients was found to be simple and efficient. Fistulous tracks were observed on follow‐up hystero‐salpingography in 5 patients, but on examination at open operation the Fallopian tubes were found to have been adequately divided and sealed. Complications of laparoscopy were in general infrequent and minor in nature: in 1 patient CO 2 was insufflated into the colon; failure to visualise the pelvis adequately was the reason for abandoning the operation in 3 patients.

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Genital Diseases, Female Laparoscopy Laparoscopy Sterilization, Tubal Amenorrhea Amenorrhea Colon Colon Electrocoagulation Endometriosis Endometriosis Female Genital Diseases, Female Hirsutism Hirsutism Humans Hysterosalpingography Infertility, Female Infertility, Female Intestinal Perforation

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