title: [Laparoscopic surgery complications in a reproductive biology service].
abstract: BACKGROUND
  Poor report of difficulties in using laparoscopic technique has limited the knowledge of its advantages and disadvantages.
  
  
  OBJECTIVE
  To evaluate complications in patients treated with laparoscopic surgical procedures in a biologic reproductive service,
  
  
  METHODS
  Retrospective study in 525 patients treated with conventional laparoscopy due to any gynecological procedure. All pre- and post-operative variables were considered.
  
  
  RESULTS
  There were 16 (3%) complications within the 525 patients studied: six (37.5%) cases with uterine perforation, three (18.8%) with wall bleeding, and two (12.5%) with subcutaneous emphysema. The rest of complications (31.2%) were: post-puncture headache (1), anaphylactic reaction (1), perirectal serous laceration (1), anexial hematoma (1), and ovarian vessels bleeding (1). There was a case of wall hematoma and another with ovarian vessels injury that required a second intervention. Patient with anaphylactic shock required intensive care attention and mechanic ventilation. Mean physicians years of experience were 12 +/- 7 (1 to 20 years). During the period of time of the study there were no dead due to gynecologic laparoscopic procedures.
  
  
  CONCLUSIONS
  Gynecological surgical laparoscopy is a viable alternative to traditional surgery due to less postoperative pain, minimal hospital stay, fast recovery, and better esthetic results and less infectious morbidity.
authors.affiliation: Unidad Médica de Alta Especialidad, División de Ginecología, Hospital de Obstetricia y Ginecología, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. jcsalcidof@hotmail.com.mx
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Salcido Fernández
authors.forename: Gerardo Manuel
authors.initials: GM
authors.lastname: Pérez Barba
authors.forename: Salvador
authors.initials: S
authors.lastname: Hernández Higareda
authors.forename: Ana Bertha
authors.initials: AB
authors.lastname: Zavalza Gómez
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult