Complications of gynecologic laparoscopy.
OBJECTIVE
To examine the frequency of gynecologic laparoscopy complications from January 1996 to June 1996.


METHODS
Prospective review (Canadian Task Force classification II-1).


METHODS
Tertiary center teaching hospital with 607 beds.


METHODS
Two hundred thirty-four patients (age 15-70 yrs).


METHODS
Gynecologic laparoscopy.


RESULTS
The overall number of complications was 23 (9.8%). They were principally infection, extraperitoneal insufflation, and injury to blood vessels. Complication rates were examined by service (private, clinic, staff) and by type of laparoscopy (operative, diagnostic, laparoscopic-assisted vaginal hysterectomy). Of 11 (47.8%) complications that occurred during laparoscopic-assisted vaginal hysterectomy, 5 involved postoperative infection.


CONCLUSIONS
The complication rate in this review was similar to that published in the literature, with the exception of ileus and infection, which occurred at higher rates in our institution. (J Am Assoc Gynecol Laparosc 6(3):317-321, 1999)
Quasarano
R T
RT
Department of Obstetrics and Gynecology, St. John Hospital and Medical Center, 22151 Moross Road, Suite 313, Detroit, MI 48236, USA.
Kashef
M
M
Sherman
S J
SJ
Hagglund
K H
KH
D000293:Adolescent; D000328:Adult; D000368:Aged; D016001:Confidence Intervals; D003625:Data Collection; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008824:Michigan; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D012984:Software