[The problem of documentation and quality control in operative gynaecology (author's transl)]

A documentation system by punch card, key and program system was developed at the University Department for Women in Tübingen and used for operative gynaecology. From each patient 12 quantitative and 19 qualitative parameters were coded. Included in the code were the diagnosis or several diagnoses, the operation or several operations, previous operation or previous operations, risk factors, complications during the operation and following the operation and data on the anesthesia. 1,700 procedures with opening of the peritoneum were reviewed retrospectively. From these data 499 vaginal hysterectomies with anterior and posterior colporrhaphy and with/or without bilateral salpingo-oophorectomy were selected as well as 249 abdominal hysterectomies with Marshall Marchetti operation in the Tübingen modification with/or without bilateral salpingo-oophorectomy and with/or without colporhaphy. These two groups were compared regarding important parameters. It was confirmed that the morbidity in vaginal hysterectomy was much higher than in abdominal hysterectomy.