Laparoscopic-assisted vaginal hysterectomy: American Association of Gynecologic Laparoscopists' 1995 Membership Survey

Insulation failure in laparoscopic instruments

“…Modern laparoscopy has reduced capacitive coupling, and now insulation failure is thought to be the main cause of electrosurgical complications. The aim of this study was (1) to determine the incidence of insulation failures, (2) to compare the incidence of insulation failure in reusable and disposable instruments, and (3) to determine the location of insulation failures. Methods At four major urban hospitals, reusable laparoscopic instruments were checked for insulation failure using a high-voltage porosity detector.…”

Electro-Surgery Practices and Complications in Laparoscopy

“…In 68.9 % of instances of bowel injury, adhesions or a previous laparotomy were noted [17]. Injuries during laparoscopic electrosurgical procedures can be attributed to misidentification of anatomic structures, mechanical trauma, and electro-thermal complications [12]. Misidentification and mechanical trauma can occur laparoscopically, just like that in laparotomy [27].…”

“…complication rate was 2.4% (22/9,337) in Finnish study [11], and 1.08% (161/14,911) in AAGL study [12]. In Taiwan, Lee et al reported 0.8% (6/722) [13]; it was 0.40% (6/1,507) [14] and 0.30% (13/ 4107) in Wu et al follow-up study [15].…”

“…The incidence may be under-reported due to retrospective and complication that occurred after leaving hospital being overlooked [16].The small intestine was most frequently injured 55.8 % (227/ 407), followed by the large intestine 38.6% (157/ 407), and the stomach 3.9 % (16/ 407) [17]. The reported bowel injury rates ranged from 0.16% (15/ 9,337) [11] to 0.62% (93/ 14,911); [12] 0.28% (2/ 722) in Lee et al LAVHs stud; [13] 0.33% (5/ 1,507) in Wu et al study. [14], and 0.16% (7/ 4,107) in the follow-up study [15].…”

Evolution of Operative Laparoscopy in Gynecology: A Mirage or a Challenge?

“…As the shift of minor treatment to day, ambulatory or even office care is becoming inexorable, and major surgeries performed via laparoscopy, the resultant reduced length of www.intechopen.com hospital stay has the potential to release many more resources, thus, harnessing the advantages of laparoscopic surgery as appropriate can alleviate the problems of rising hospital costs and hospital-acquired infections 11 . Although the magnitude of saving resulting from the shorter hospital stay has been controversial, it is difficult to place a monetary value on the reduction in pain and discomfort, a shorter convalescence in an economically active group 12,13,14,15,16,17,18 . Although, steep learning curve and cost of training continue to limit universal usage of laparoscopy, the above benefits outweighs the limitations of laparoscopic surgery in addition.…”