The frequency distribution of various pelviscopic (laparoscopic) operations, including complications rates--statistics of the Federal Republic of Germany in the years 1983-1985.
The 3rd German pelviscopic (laparoscopic) statistics include in all 207,823 laparoscopies from 310 general hospitals and 41,644 laparoscopies from 121 private clinics. The response rate was 39% for the hospitals and 59.3% for the clinics. In the hospitals 429 serious complications occurred and in the clinics 63, which is a complication rate of 1.97%. In 415 cases (1.66%) a laparotomy was required. The most frequent serious complication was an injury of the intestinal organs, caused by the Veress-needle or the Trocar. Another serious complication was an injury of a major blood-vessel, as well as haemorrhages from salpinges on dissected Omentum. For sterilization 87.7% of the hospitals and clinics used the bipolar HF-technique; 32.4% used Endocoagulation according to Semm. In 8.3% of the cases, the monopolar high frequency method was applied. After sterilisation in the hospitals, intra- and extra-uterine pregnancies occurred in 2.8% while in the private clinics this figure was 3.3%. The intra- or extra-uterine pregnancies occurred mainly after sterilisation by the bipolar HF-technique or after Clip-sterilisation. 46.1% of the investigated hospitals and 36.4% of the private clinics intend to increase the indication of the endoscopic operations.
Riedel
H H
HH
Department of Obstetrics and Gynaecology University of Aachen, F.R.G.
Lehmann-Willenbrock
E
E
Mecke
H
H
Semm
K
K
D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D005860:Germany, West; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors; D013246:Sterilization, Tubal / Q000706:statistics & numerical data