THE FREQUENCY-DISTRIBUTION OF VARIOUS PELVISCOPIC (LAPAROSCOPIC) OPERATIONS, INCLUDING COMPLICATIONS RATES - STATISTICS OF THE FEDERAL-REPUBLIC-OF-GERMANY IN THE YEARS 1983-1985

  • 1 January 1989
    • journal article
    • editorial
    • Vol. 111  (2) , 78-91
Abstract
The 3rd German pelviscopic (laparoscopic) statistic include in all 207,823 laparoscopies from 310 general hospitals and 41,644 laparoscopies form 121 private clinics. The response rate was 39% for the hospitals and 59.3% for the clinics. In the hospitals 429 serious complications occurred and in the clinics 63, which is a complication rate of 1.97.PHI.. In 415 cases (1.66.PHI.) a laparotomy was required. The most frequent serious complication was an injury of the intestinal organs, caused by the Veress-needle or the Trocar. Another serious complication was an injury of a major blood-vessel, as well as haemorrhages from salpinges on dissected omentum. For sterilization 87.7% of the hospitals and clinics used the bipolar HF-technique; 32.4% used endocoagulation according to Semm. In 8.3% of the cases, the monopolar high frequency method was applied. After sterilization in the hospitals, intra- and extrauterine prognancies occurred in 2.8.PHI. while in the private clinics this figure was 3.3.PHI.. The intra- or extra-uterine pregnancies occurred mainly after sterlization by the bipolar HF-technique or after Clip-sterilization. 46.1% of the investigated hospitals and 36.4% of the private clinics intend to increase the indication of the endoscopic operations.

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