The incidence of entry‐related laparoscopic injuries in Finland

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Abstract
Objective: To analyse entry‐related laparoscopic complications in Finland.Subjects: Data from the Finnish Hospital Discharge Register and the National Patient Insurance Association were used.Results: 51 entry‐related laparoscopic injuries were reported from 1990 through 1996, accounting for 22% of all major laparoscopic complications, the incidence being 0.5/1000 procedures. Of the entry injuries, 57% were bowel injuries, 15% incisional hernias, 12% large‐vessel injuries, 10% small‐vessel injuries and 6% bladder injuries. Altogether, 92% of the complications were treated by laparotomy.Conclusions: Laparoscopic procedures are associated with complications related to laparoscopic access and the operation itself. Safety guidelines should be followed during laparoscopic procedures to reduce the complication risk.

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