Complications of laparoscopy--operative and diagnostic.

Autor: Bateman BG; Department of Obstetrics and Gynecology, University of Virginia Health Sciences Center, Charlottesville 22908, USA., Kolp LA, Hoeger K
Jazyk: angličtina
Zdroj: Fertility and sterility [Fertil Steril] 1996 Jul; Vol. 66 (1), pp. 30-5.
Abstrakt: Objective: To assess the characteristics and rates of complications for operative laparoscopy and diagnostic laparoscopy.
Design: Retrospective review.
Setting: Tertiary-care university hospital.
Patients: Two thousand three hundred twenty-four patients undergoing operative laparoscopy or diagnostic laparoscopy.
Interventions: Operative laparoscopy including lysis of adhesions, tubal surgery, ovarian surgery, uterine surgery, or destruction of endometriosis.
Main Outcome Measures: Complication rates for operative and diagnostic laparoscopies were tabulated and compared.
Results: The 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).
Conclusion: Operative laparoscopy is efficacious for a variety of gynecologic surgical procedures.
Databáze: MEDLINE