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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Laparoscopic diagnosis and treatment in gynecologic emergencies
Salvador Navarrete Aulestia1, Héctor Cantele, José Luis Leyba
1Surgery Department B, Faculty of Medical Sciences, Universidad Central de Venezuela, Caracas, Venezuela. sana24@telcel.net.ve
Objective:
To present an analysis of our experience with 22 consecutive cases of acute abdominal gynecologic emergencies managed with a laparoscopic approach.
Methods:
From March 1997 to October 1998, 22 patients with a diagnosis of acute abdominal gynecologic emergencies underwent laparoscopic intervention. A transvaginal ultrasound was performed on all patients preoperatively to supplement the diagnostic workup. Surgical time, complications, and length of hospital stay were evaluated, and the laparoscopic diagnosis was compared with the preoperative diagnosis.
Results:
The laparoscopic diagnosis was different from the preoperative diagnosis in 31.8% of patients. Of the 22 patients, laparoscopic therapeutic procedures were performed in 18 (81.8%), all satisfactorily, and with no need for conversion to open surgery. No morbidity or mortality occurred.
Conclusion:
Laparoscopy is a safe and effective method for diagnosing and treating gynecologic emergencies.
