title: Laparoscopic surgery complications: postoperative peritonitis.
abstract: BACKGROUND
  Complications within laparoscopic surgery, similar to classic surgery are inevitable and require immediate actions both to diminish intraoperative risks and to choose the appropriate therapeutic attitude. Peritonitis and hemorrhagic incidents are both part of the complications aspect of laparoscopic surgery. Fortunately, the incidence is limited, thus excluding the rejection of celioscopic methods. Patient's risks and benefits are to be analyzed carefully prior recommending laparoscopic surgery.
  
  
  METHODS
  This study presents a statistical analysis of peritonitis consecutive to laparoscopic surgery, experience of "Sf. Ioan" Emergency Hospital, Bucharest, and Department of Surgery (2000-2010).
  
  
  RESULTS
  There were 180 (0,96%) complicated situations requiring reinterventions, from a total of 18676 laparoscopic procedures. 106 cases (0,56%) represented different grades of postoperative peritonitis. Most frequently, there were consecutive laparoscopic appendicectomia and colecistectomia. During the last decade, few severe cases of peritonitis followed laparoscopic bariatric surgical procedures.
  
  
  CONCLUSIONS
  This study reflects the possibility of unfavorable evolution of postoperative peritonitis comparing with hemorrhagic incidents within laparoscopic surgery.
authors.affiliation: Surgery Department of Sf. Ioan Clinical Emergency Hospital, Bucharest, Romania. liviudraghici@hotmail.com
authors.forename: L
authors.initials: L
authors.lastname: Drăghici
authors.forename: I
authors.initials: I
authors.lastname: Drăghici
authors.forename: A
authors.initials: A
authors.lastname: Ungureanu
authors.forename: C
authors.initials: C
authors.lastname: Copăescu
authors.forename: M
authors.initials: M
authors.lastname: Popescu
authors.forename: C
authors.initials: C
authors.lastname: Dragomirescu
mesh_terms: D001062:Appendectomy / Q000009:adverse effects; D050110:Bariatric Surgery / Q000009:adverse effects / Q000706:statistics & numerical data; D002763:Cholecystectomy / Q000009:adverse effects; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects* / Q000706:statistics & numerical data; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*