Morbidity in laparoscopic gynecological surgery : Results of a prospective single-center study.
We set out to investigate prospectively the morbidity rate for gynecological laparoscopy patients at a tertiary care center.
We prospectively recorded data on 743 laparoscopic procedures performed between January 1. 1992 and December 31. 1996.
The procedures included 36 diagnostic laparoscopies (4.8%), 115 laparoscopies carried out for minor surgical acts (15.4%). 523 for major surgical acts (70.4%), and 69 for advanced surgical acts (9.4%). A total of 127 patients had a history of prior laparotomy (17%). All those procedures were performed by young senior surgeons.
We defined a complication as an event that had modified the usual course of the procedure or of the postoperative period.
For statistical analysis, we used the chi-squared test or Fisher's exact test.
Complications occurred in 22 cases ; the overall complication rate was 2.9% when all events were considered.
One complication (injury of the left primitive iliac artery) was related to insertion of the Veress needle (0.13%). A total of 2,578 trocars were inserted, giving rise to 10 complications (1.3%). Three unintended laparotomies were required for bowel or bladder injuries (0.4%). Finally, the introduction of the laparoscope was responsible for 11 complications (1.4%) ; this figure represents 50% of all the complications of this series. (...)
Mots-clés Pascal : Appareil génital femelle pathologie, Chirurgie, Voie abord, Laparoscopie, Morbidité, Complication, Epidémiologie, Homme, Femelle, Endoscopie
Mots-clés Pascal anglais : Female genital diseases, Surgery, Surgical approach, Laparoscopy, Morbidity, Complication, Epidemiology, Human, Female, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0085432
Code Inist : 002B25K. Création : 31/05/1999.