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Complications of laparoscopy--operative and diagnostic
B G Bateman1, L A Kolp, K Hoeger
1Department of Obstetrics and Gynecology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Objective:
To assess the characteristics and rates of complications for operative laparoscopy and diagnostic laparoscopy.
Design:
Retrospective review.
Setting:
Tertiary-care university hospital.
Patients:
Two thousand three hundred twenty-four patients undergoing operative laparoscopy or diagnostic laparoscopy.
Interventions:
Operative laparoscopy including lysis of adhesions, tubal surgery, ovarian surgery, uterine surgery, or destruction of endometriosis.
Main Outcome Measures:
Complication rates for operative and diagnostic laparoscopies were tabulated and compared.
Results:
The overall major complication rate for this series of 2,324 laparoscopies was 0.22%. There were five major and 15 minor complications. In the operative laparoscopy group, there were more complications from Veress needle and trocar insertion (n = 15) than from the actual operative procedures (n = 3). There were more total complications in the operative laparoscopy group (n = 18) than in the diagnostic laparoscopy group (n = 3).
Conclusion:
Operative laparoscopy is efficacious for a variety of gynecologic surgical procedures.