Objective: To analysis the causes, management and prevention of complications following gynecological laparoscopic surgery.
Method: We analysed retrospectively the clinical data of 22 cases with complications following laparoscopic surgery performed from Sep 1992 to May 1994.
Results: The overall incidence of operative complications was 6.29% (22/350). Among them, 9 cases (including pneumoderma 6 and pneumo-omentum 3) were related to inappropriate CO2 insufflation. The other 10 cases were associated with bleeding, i.e. vessel injury 4 cases, hypodermal ecohymosis 5, and bleeding from the sutured site 1. The remaining 3 were omental or intestinal hernia of the incisional sites. One out of the 22 cases were turned to laparotomy. The outcomes of this group were all good.
Conclusions: The occurrence of these complications was related to the doctors experiences and skills. Therefore, well-training and practice should be emphasized in order to avoid these complications.