Laparoscopic surgery in gynecology: randomized prospective study comparing pneumoperitoneum and abdominal wall suspension

L. Cravello, Cravello L, C D'Ercole, C. d’Ercole, D'Ercole C, V Roger, Valérie Roger, Roger V, D Samson, Duke Samson, Samson D, B Blanc, Blanc B
European journal of obstetrics, gynecology, and reproductive biology · 1999 · vol. 83(1) , pp. 9–14 · doi:10.1016/s0301-2115(98)00239-5 · PMID:10221603 · W1985104356
RCT OA: closed CC0 ⤵ 2 in-corpus citations
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This paper explores the techniques and outcomes associated with laparoscopic surgery in gynecological procedures.

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Abstract

OBJECTIVE: To compare laparoscopic surgery using insufflation of carbon dioxide gas with laparoscopic surgery using abdominal wall retractor in gynecology. SETTING: University hospital. DESIGN: Prospective randomized study. MATERIAL AND METHODS: Fifty-one patients were assigned to the gasless laparoscopy group, and 52 patients were assigned to the laparoscopy group with pneumoperitoneum. Patients presented with ovarian cyst, endometriosis, acute salpingitis, hydrosalpinx and extra-uterine pregnancy. RESULTS: No severe complications were noted. One conversion to laparotomy was performed in each group. Eight gasless laparoscopic procedures were converted into laparoscopy with pneumoperitoneum; difficulties appeared in patients with adhesions following laparotomy and in cases of unsatisfactory exposure of the pelvis. No differences appeared between the two groups in terms of complications, quality of the operative sequelae, and duration of hospitalization. CONCLUSION: Gasless surgery is a recent technique and progress in modifying the equipment is necessary to reduce conversions.

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MeSH descriptors

Laparoscopy Pneumoperitoneum, Artificial Pneumoperitoneum, Artificial Pneumoperitoneum, Artificial Surgical Instruments Surgical Instruments Abdominal Muscles Abdominal Muscles Adult Adult Carbon Dioxide Carbon Dioxide Female Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Humans Humans Laparoscopy

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License: CC0 · commercial use OK