• J Am Assoc Gynecol Laparosc · Aug 1999

    Complications of gynecologic laparoscopy.

    • R T Quasarano, M Kashef, S J Sherman, and K H Hagglund.
    • Department of Obstetrics and Gynecology, St. John Hospital and Medical Center, 22151 Moross Road, Suite 313, Detroit, MI 48236, USA.
    • J Am Assoc Gynecol Laparosc. 1999 Aug 1;6(3):317-21.

    Study ObjectiveTo examine the frequency of gynecologic laparoscopy complications from January 1996 to June 1996.DesignProspective review (Canadian Task Force classification II-1).SettingTertiary center teaching hospital with 607 beds.PatientsTwo hundred thirty-four patients (age 15-70 yrs).InterventionsGynecologic laparoscopy.Measurements And Main ResultsThe 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.ConclusionThe 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)

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