The frequency distribution of various pelviscopic (laparoscopic) operations, including complications rates--statistics of the Federal Republic of Germany in the years 1983-1985

Abstract

The 3rd German pelviscopic (laparoscopic) statistics include in all 207,823 laparoscopies from 310 general hospitals and 41,644 laparoscopies from 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%. In 415 cases (1.66%) 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 sterilisation in the hospitals, intra- and extra-uterine pregnancies occurred in 2.8% while in the private clinics this figure was 3.3%. The intra- or extra-uterine pregnancies occurred mainly after sterilisation by the bipolar HF-technique or after Clip-sterilisation. 46.1% of the investigated hospitals and 36.4% of the private clinics intend to increase the indication of the endoscopic operations.