title: [Retroperitoneal technique of laparoscopic adnexectomy after previous hysterectomy for prevention of intraoperative organ ruptures].
abstract: OBJECTIVE
  The possibility of the reduction of organ ruptures during laparoscopic adnexectomy for cystic adnexal masses after previous hysterectomy with retroperitoneal techniques was studied.
  
  
  METHODS
  Twenty-five patients with cystic adnexal masses after previous hysterectomy enetered the study. The danger of intraoperative organ ruptures was diminished by using the retroperitoneal operative technique and a 'salvage bag' (Endopouch).
  
  
  RESULTS
  The laparoscopic operation was successfuly performed in 23 of 25 patients. In 2 patients a laparotomy was performed. The frequency of intraoperative ruptures decreased with increasing experience (1992 in 7 of 8; 1995 in 1 of 6 patients).
  
  
  CONCLUSIONS
  The frequency of intraoperative organ ruptures during laparoscopic adnexectomy after previous hysterectomy can be significantly decreased by using the retroperitoneal operative technique and the Endopouch.
authors.affiliation: Geburtsfhilflich-Gynäkologische Universitätsklinik, Graz, Osterreich.
authors.forename: P
authors.initials: P
authors.lastname: Lang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control*; D020706:Laparoscopes; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000601:surgery*; D012086:Reoperation; D012187:Retroperitoneal Space; D012307:Risk Factors; D012422:Rupture, Spontaneous