Operative laparoscopy: American Association of Gynecologic Laparoscopists, 1993 membership survey

Hulka, Jaroslav F.; Peterson, Herbert B.; Phillips, Jordan M.; Surrey, M.

doi:10.1016/s1074-3804(05)80792-3

Cited by 57 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the technique of open laparoscopy was first described by the gynecologist Hasson in 1971 [12], only a few gynecologists use the open-entry technique [1,18]. Some have reported comparable or even higher complication rates with the openentry technique in gynecologic case series [1].…”

Section: Discussionmentioning

confidence: 99%

Medical liability insurance claims on entry-related complications in laparoscopy

et al. 2007

View full text Add to dashboard Cite

Background: Installation of the pneumoperitoneum is an essential part of laparoscopic surgery. Creation can be performed by either the open or a closed technique. The aim of this study was to assess the number of and contributing factors to entry-related complications in medical liability insurance claims in the Netherlands. Methods: A retrospective chart review was performed, including all malpractice claims filed at MediRisk, which is presently the largest medical liability mutual insurance company for institutions, mainly hospitals, in healthcare in the Netherlands. Results: From January 1993 to December 2005, 41 claims were identified as entry-related complications which comprised 18% of all laparoscopy-related complications leading to claims. Most were young (median age = 35 years) female patients who had routine, nonadvanced, laparoscopic procedures planned as shortstay or day-care procedures. The claims were equally divided between general surgery (n = 20) and gynecology (n = 21). A total of 51 structures were injured. There were 18 vascular structure injuries, 30 bowel injuries, and three other injuries. An open entry technique was used in only two (5%) patients. Vascular injury was exclusively associated with closed entry. In only 19 (46%) patients the entry-related complication was diagnosed peroperatively, consisting of 70% of the vascular and 25% of the bowel injuries. Twenty-six patients (64%) were admitted to the intensive care unit for a median of five days. There was no mortality. Besides conversion, the majority of the patients filed a claim to compensate for a longer hospital stay and related costs.A payment was made in 17 (57%) of the 30 settled claims. Conclusions: Medical liability claims concerning laparoscopic entry-related complications comprised a fifth of all laparoscopy-related claims. Claims concerning entry-related complications occurred in young patients who had routine, nonadvanced procedures. In the investigated cases most claims involved the closed-entry technique.

show abstract

Section: Discussionmentioning

confidence: 99%

Medical liability insurance claims on entry-related complications in laparoscopy

et al. 2007

View full text Add to dashboard Cite

show abstract

“…On the one hand, the shortcomings of the open approach include a high frequency of intraoperative CO 2 loss [17] and a complication rate that,Ðin comparison with the classical route of entry,Ðis not always lower as far as secondary bowel lesions in intraabdominal adhesions are concerned [22]. Even highly experienced surgeons have found it dicult to detect adhesions of the bowels or the omentum majus through a 1-cm±wide fascial opening and have not always been able to avoid complications [2,33].…”

Section: Discussionmentioning

confidence: 99%

Direct visual or blind insertion of the primary trocar

et al. 2002

View full text Add to dashboard Cite

show abstract

“…The incidence of visceral complications does not differ significantly between the open-entry technique compared with the closed-entry technique [12,14]. When it is performed in selected patients, the number of complications is not necessarily reduced.…”

Section: Open-entry Laparoscopymentioning

confidence: 94%

“…One has to consider that the open procedure has a learningcurve risk. An inquiry among members of the American Association of Gynecological Laparoscopists showed a complication rate for visceral lesions of 12/1,000 open procedures versus 1.5/1,000 closed procedures [14].…”

Section: Open-entry Laparoscopymentioning

confidence: 99%

Laparoscopic entry techniques: a protocol for daily gynaecological practice in The Netherlands

et al. 2006

View full text Add to dashboard Cite

This Dutch model protocol aims to formulate recommendations on insertion of laparoscopic instruments in order to reduce entry-related complications. It was written on behalf of the Dutch Society of Gynaecological Endoscopy and Minimal Invasive Surgery and serves as guidance to safe entry in laparoscopy for the Dutch gynaecologist in daily practice. It was translated and made suitable for publication in English. Despite the variety of methods described for creating pneumoperitoneum, no one single method can claim to be fundamentally superior to another. The practising laparoscopist should be familiar with at least more than one entry technique.

show abstract

Operative laparoscopy: American Association of Gynecologic Laparoscopists, 1993 membership survey

Cited by 57 publications

References 0 publications

Medical liability insurance claims on entry-related complications in laparoscopy

Medical liability insurance claims on entry-related complications in laparoscopy

Direct visual or blind insertion of the primary trocar

Laparoscopic entry techniques: a protocol for daily gynaecological practice in The Netherlands

Contact Info

Product

Resources

About