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[Open laparoscopy: analysis of complications due to first trocar insertion]
L Cravello1, J Banet, A Agostini
1Service de gynécologie-obstétrique B, hôpital de la Conception, 147, bd Baille, 13385 Marseille, France. lcravello@ap-hm.fr
Objective:
To evaluate the complications of open laparoscopy during the set-up of laparoscopy in gynecologic surgery.
Design:
Retrospective study performed between February 1994 and January 2001 in a University Centre.
Patients And Methods:
1,562 patients underwent open laparoscopies. Procedures were performed by 8 gynaecological surgeons. Peri- and postoperative complications were assessed and analysed.
Results:
Major injuries concerned gastrointestinal tract: 2 perforations with immediate diagnosis and one postoperative occlusion treated by delayed laparotomy (0.19%). No death occurred. No vascular injuries and no bladder complications were noted.
Conclusion:
We recommend open laparoscopy because of its innocuity and easiness. Advantages concern decrease of major vascular injuries and early recognition of bowel injuries.