title: Complications of Multipuncture Laparoscopic Surgery
abstract: We analyzed the complications that occurred in 1813 laparoscopic operations performed in our institution from August 1989 to August 1995. The patients' mean age was 39.3 &plusmn; 8.5 years and mean parity was 1.5 &plusmn; 1.2. The most common indication for operative laparoscopy was uterine myomas (45.8%). After the procedure, 87 women (4.8%) developed complications. The most common was subcutaneous emphysema (42, 48.3%). Other complications were unintended laparotomies, 16 (18.4%); urinary complications, 11 (12.6%); and vascular injuries, 9 (10.3%). Understanding these complications and determining how to avoid them is the only way to reduce their frequency. Prompt recognition and treatment of complications results in the most favorable outcome.
authors.affiliation: Department of Obstetrics and Gynecology, Chung-Ang University Hospital, 65-207, 3-Ka Hankang-ro, Yongsan-ku, Seoul 140-757, Korea.
authors.initials: M
authors.lastname: Hur
authors.initials: BH
authors.lastname: Kang