B G Bateman1, L A Kolp, K Hoeger. 1. Department of Obstetrics and Gynecology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Abstract
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.
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.