Complications of operative laparoscopy
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A retrospective review of 1649 operative laparoscopies found an overall complication rate of 0.8%, with major complications occurring in 0.36% of cases.
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Abstract
Objective To assess the incidence and type of laparoscopic complications. Design A series of 1649 operative laparoscopies were reviewed in a retrospective study of patient records. Setting A tertiary care university hospital. Interventions Operative laparoscopy including minor procedures (minimal adhesiolysis, destruction of minimal endometriosis foci, ovarian biopsy, ovarian puncture, tubal sterilization); major laparoscopic surgery (extended adhesiolysis, tuboplasties, uterine suspension, treatment for ectopic pregnancy, salpingitis, ovarian cyst, moderate and severe endometriosis), and advanced laparoscopic surgery (hysterectomy, myomectomy, bladder neck suspension). Results There was one major vascular complication, two intestinal injuries, one anaesthesiological complication and two urinary tract injuries. In addition there were two minor and five postoperative complications. The overall complication rate was 13/1649 (0.8%). The major complication rate was 6/1649 (0.36%). Conclusions This review has been useful in helping surgeons to reduce the risk of injuries and to inform patients about possible complications. These rates were similar to those that have been previously reported.
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Cites (2)
- Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States 1982
- Complications of laparoscopy—operative and diagnostic 1996
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