[Minilaparoscopy and open laparoscopy: prevention of laparoscopic complications].
BACKGROUND
The study aimed to compare laparoscopy, open-laparoscopy and mini-laparoscopy and to correlate the results of each technique with the respective percentages of laparotomic conversion.


METHODS
A total of 101 laparoscopies were performed between November 1997 and April 1999: 18.8% were diagnostic and 81.2% operative. The latter included 54 traditional laparoscopies (65.9%), 18 open-laparoscopies (21.9%) and 10 minilaparoscopies (12.2%).


RESULTS
Laparotomic conversion was required in 5.5% of laparoscopies. No laparotomic conversion was necessary for the open-laparoscoples and for mini-laparoscopies.


CONCLUSIONS
The possibility of resorting to open-laparoscopy and mini-laparoscopy may represent a valid tool when the patient has previously undergone laparoscopic or laparotomic surgery, with the supposition of pelvo-abdominal adherences that would increase the risk of traditional laparoscopy.
Porcelli
A
A
Università del Piemonte Orientale A. Avogadro, Clinica Ostetrica e Ginecologica, Facoltà di Medicina e Chirurgia di Novara, Novara, Italy.
Taccani
C
C
Calleri
L F
LF
D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control