Complications of laparoscopy—operative and diagnostic

Bateman BG, B G Bateman, Bruce G. Bateman, Lisa A. Kolp, Kolp LA, L A Kolp, Hoeger K, Kathleen M. Hoeger, K Hoeger
Fertility and Sterility · 1996 · vol. 66(1) , pp. 30–35 · doi:10.1016/s0015-0282(16)58383-6 · PMID:8752607 · W1226663040
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Abstract

ObjectiveTo assess the characteristics and rates of complications for operative laparoscopy and diagnostic laparoscopy.DesignRetrospective review.SettingTertiary-care university hospital.PatientsTwo thousand three hundred twenty-four patients undergoing operative laparoscopy or diagnostic laparoscopy.InterventionsOperative laparoscopy including lysis of adhesions, tubal surgery, ovarian surgery, uterine surgery, or destruction of endometriosis.Main outcome measuresComplication rates for operative and diagnostic laparoscopies were tabulated and compared.ResultsThe overall major complication rate for this series of 2,324 laparoscopies was 0.22%. There were five major and 15 minor complications. In the operative laparoscopy group, there were more complications from Veress needle and trocar insertion (n = 15) than from the actual operative procedures (n = 3). There were more total complications in the operative laparoscopy group (n = 18) than in the diagnostic laparoscopy group (n = 3).ConclusionOperative laparoscopy is efficacious for a variety of gynecologic surgical procedures.

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MeSH descriptors

Genital Diseases, Female Genital Diseases, Female Laparoscopy Abdominal Muscles Abdominal Muscles Adult Blood Vessels Blood Vessels Female Genital Diseases, Female Humans Intestines Intestines Intraoperative Complications Laparoscopy Needles Needles Peritoneal Diseases Peritoneal Diseases Retrospective Studies

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