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The Clinical Study of Laparoscopic Surgery / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology ; : 713-718, 2003.
Article in Korean | WPRIM | ID: wpr-135322
ABSTRACT

OBJECTIVE:

To assess the advantages, disadvantages, applicability, and complications of laparoscopy in gynecologic diseases. MATERIALS AND

METHODS:

A retrospective case series which includes 1711 patients who underwent laparoscopic surgery at Department of Obstetrics and Gynecology, Ajou University Hospital from June, 1994 to August, 2001 for gynecologic diseases.

RESULTS:

The patient's ages ranged from 11 to 77 years, and their mean age was 31.5 years. The indications of laparoscopy were ectopic pregnancy in 626 cases (36.6%), endometriosis, ovarian tumor, secondary infertility, tubal obstruction, primary infertility, myoma of the uterus, pelvic adhesion, and pelvic inflammatory disease in order. The operations performed were salpingectomy in 589 cases (34.4%), diagnostic laparoscopy, ovarian cystectomy, fulguration, salpingo-oophorectomy, laparoscopic-assisted vaginal hysterectomy, fimbrioplaty, oophorectomy, and myomectomy in order. Operation times were from 5 to 260 minutes (mean 60.6 minutes). Postoperative hospital stays were from 0 day to 29 days (mean 2.3 days). There were 18 surgical complications including 1 trocar site hematoma, 3 incision site infections, 9 postoperative fever, 2 postopertive ileus and 3 patinets underwnet expolatory laparotomy because of severe adhesion.

CONCLUSION:

We conclude that operative laparoscopy is useful in gynecologic diseases but need development of laparoscopic equipments, research of operative method, extension of operative indications, and skilled laparoscopic surgeons.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pregnancy, Ectopic / Surgical Instruments / Uterus / Ovariectomy / Cystectomy / Retrospective Studies / Pelvic Inflammatory Disease / Laparoscopy / Ileus / Endometriosis Type of study: Observational study Limits: Female / Humans / Pregnancy Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2003 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pregnancy, Ectopic / Surgical Instruments / Uterus / Ovariectomy / Cystectomy / Retrospective Studies / Pelvic Inflammatory Disease / Laparoscopy / Ileus / Endometriosis Type of study: Observational study Limits: Female / Humans / Pregnancy Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2003 Type: Article