title: [Complications of laparoscopy caused by trocars. Preliminary study from the national registry of the French Society of Gynecologic Endoscopy].
abstract: OBJECTIVE
  To describe laparoscopic complications due to trocar insertions and to define their prevention as well as their risk factors.
  
  
  METHODS
  The SFEG registry of laparoscopic complications was used for our study; 26 complications due to trocar insertions were recorded to this day by the register including 12 vascular injuries, 9 bowel injuries, 3 bladder perforations and 2 incisional herinas. In order to avoid accidents of this technique, patient profile, laparoscopy indications, trocar type, diagnosis and treatment of the complications as well as the outcome must be defined.
  
  
  RESULTS
  Whatever the operator's experience, the indication of laparoscopy and the trocar type some patients seem to have complications at laparoscopy: 70% of studied group had prior surgical treatment and 50% were over weight. However, it appeared that safety rules were not been taken into account for one-third of the trocar injuries. Consequently, laparotomy was used by the same surgeons for these complications in 89% of cases, laparotomy was delayed in 27% of the cases.
  
  
  CONCLUSIONS
  In order to prevent laparoscopic complications, the surgeon must (i) inform the patients about risks which may occur, (ii) be careful, and (iii) declare each complication to a national registry such as the SFEG registry.
authors.affiliation: Département de Gynécologie, Obstétrique, Médecine Foetale et de Reproduction Humaine, Centre Hospitalier Universitaire de Tours.
authors.forename: H
authors.initials: H
authors.lastname: Marret
authors.forename: F
authors.initials: F
authors.lastname: Pierre
authors.forename: C
authors.initials: C
authors.lastname: Chapron
authors.forename: F
authors.initials: F
authors.lastname: Perrotin
authors.forename: G
authors.initials: G
authors.lastname: Body
authors.forename: J
authors.initials: J
authors.lastname: Lansac
mesh_terms: D000328:Adult; D000368:Aged; D001808:Blood Vessels / Q000293:injuries*; D004064:Digestive System / Q000293:injuries*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D020706:Laparoscopes; D007813:Laparotomy; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D012042:Registries; D012307:Risk Factors; D013525:Surgical Instruments / Q000009:adverse effects*; D014551:Urinary Tract / Q000293:injuries*; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control