[Comparison of the frequency of selected gynecologic operations conducted as laparotomy and laparoscopy during 1993-1997].

Abstract:

UNLABELLED:The aim of the study was to compare frequency of four gynecological operations: myomectomy, tubal surgery, cystectomy and operative management of ectopic pregnancy, performed by laparotomy or laparoscopy, by the same team of surgeons. In the years 1994-1997 in Division of Reproduction Poznań University Medical School 647 cystectomies, 208 myomectomies, 68 tuboplasties and 50 surgical treatments of ectopic pregnancy were done. Among 973 operations--684 (70.3%) were performed by laparoscopy. There was a gradual tendency in increasing endoscopic procedures. Comparing the year 1994 and 1997 percentage of operations performed by laparoscopy significantly changed: In tuboplasty from 83% to 95%, cystectomy from 35.9% to 80.3%, ectopic pregnancy from 61.5% to 91.7% and myomectomy from 52.7% to 61.5%. Patient hospital stay decreased significantly after laparoscopic procedures (from 5.1 days to 3.25 days). During the study period open surgery followed laparoscopy only in 8 cases (1.1%) because of complications or technical difficulties. CONCLUSION:1. Operative laparoscopy is a safe and effective procedure, in many cases replacing open surgery. 2. Shortening of hospital stay and recovery period after laparoscopy is one of the main advantages of this method of treatment.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Jedrzejczak P,Kubiaczyk B,Pisarski T,Skrzypczak J,Szymanowski K,Wilczak M,Pawelczyk L

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

228-35

issue

4

eissn

0017-0011

issn

2543-6767

journal_volume

72

pub_type

杂志文章
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    doi:

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