Complications of laparoscopy--operative and diagnostic.
OBJECTIVE
To assess the characteristics and rates of complications for operative laparoscopy and diagnostic laparoscopy.


METHODS
Retrospective review.


METHODS
Tertiary-care university hospital.


METHODS
Two thousand three hundred twenty-four patients undergoing operative laparoscopy or diagnostic laparoscopy.


METHODS
Operative laparoscopy including lysis of adhesions, tubal surgery, ovarian surgery, uterine surgery, or destruction of endometriosis.


METHODS
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).


CONCLUSIONS
Operative laparoscopy is efficacious for a variety of gynecologic surgical procedures.
Bateman
B G
BG
Department of Obstetrics and Gynecology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Kolp
L A
LA
Hoeger
K
K
D000009:Abdominal Muscles / Q000098:blood supply; D000328:Adult; D001808:Blood Vessels / Q000293:injuries; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007422:Intestines / Q000293:injuries; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects*; D009339:Needles / Q000009:adverse effects; D010532:Peritoneal Diseases / Q000209:etiology; D012189:Retrospective Studies; D013525:Surgical Instruments / Q000009:adverse effects; D000267:Tissue Adhesions / Q000209:etiology