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Patient acceptance of diagnostic laparoscopy
1Department of Internal Medicine C, Klinikum Ludwigshafen, Academic Hospital of the University of Mainz, Germany. weickeru@klilu.de
Purpose:
To assess patient acceptance of diagnostic conventional laparoscopy and minilaparoscopy under sedoanalgesia.
Materials And Methods:
120 consecutive patients undergoing diagnostic laparoscopy were enrolled prospectively in this study. Within the first week after diagnostic laparoscopy the patients were asked to answer a total of eight questions with regard to the acceptance of the procedure.
Results:
The inconvenience of laparoscopy was assessed with a mean of 1.6 on a scale from 0 to 10 (0 = no inconvenience, 10 = very unpleasant). The discomfort in the two days following laparoscopy were graded with a mean of 2.1 on a scale from 0 to 10 (0 = no inconvenience, 10 = very unpleasant). There was no difference between conventional laparoscopy and minilaparoscopy. Only 10% of the patients described laparoscopy more inconvenient in comparison to diagnostic gastroscopy, whereas 29% of the patients assessed diagnostic gastroscopy more inconvenient.
Conclusions:
Diagnostic laparoscopy under sedoanalgesia is a very well tolerated procedure. There is no difference between conventional laparoscopy and minilaparoscopy.