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[Celioscopy mortality and morbidity. Retrospective study of a series of 1,429 cases]
P Von Théobald1, G Marie, M Herlicoviez
1Centre Hospitalier Régional, Universitaire de Caen.
Insights
This retrospective study of 1,429 coelioscopies found zero mortality and a low 1.2% morbidity rate. Coelioscopy (laparoscopy) is confirmed as a safe diagnostic and therapeutic procedure.
Area of Science:
- Medical procedures
- Surgical techniques
- Diagnostic methods
Context:
- Retrospective analysis of 1,429 coelioscopies performed between September 1984 and December 1987.
- Evaluation of safety and efficacy in a large patient cohort.
Purpose:
- To determine the mortality and morbidity rates associated with coelioscopy.
- To assess the overall risk profile of this diagnostic and therapeutic technique.
Summary:
- No mortality was recorded in the study.
- Overall morbidity rate was 1.2%, including 3 hemorrhagic events (0.2%), 1 intubation failure, 5 coelioscopy failures, 5 uterine perforations, and 5 vascular wounds.
- The findings align with existing literature, reinforcing the safety of coelioscopy.
Impact:
- Confirms coelioscopy as a low-risk procedure.
- Supports the continued use of coelioscopy for diagnosis and treatment in gynecologic care.
- Provides evidence for patient and clinician confidence in the safety of minimally invasive gynecologic surgery.
Abstract:
The authors carried out a retrospective study of 1,429 coelioscopies performed between September 1984 and December 1987 so as to determine rates of mortality and morbidity. There was no mortality. There were only 3 haemorrhagic events which required laparotomy to achieve haemostasis (0.2%). 1 intubation failure, 5 failures in coelioscopy, 5 uterine perforations, and 5 inconsequential vascular wounds were noted, bringing the overall rare of morbidity to 1.2%. The study confirms the data given in the literature and emphasizes the low risk associated with this method of diagnosis and treatment.