Management of complications in laparoscopic surgery : precaution and recovery Hiroshi SUGINAMI 1 1National Hospital Organization Kyoto Medical Center Keyword: 腹腔鏡下手術 , 安全性 , 完全性 pp.247-253
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.4426100052
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 Laparoscopic surgery is now being applied to a variety of gynecologic disorders and its indication is still spreading. The more complex the surgery, the higher is the likelihood of complication to occur. The complications occur 1)at the set-up stage of the surgery, 2)in connection to the surgical procedures, 3)in connection to the instruments used, and 4)in relation to technical immaturity of the surgeon. In order to minimize the occurrence of complications, it is mandatory 1)to re-evaluate the set-up procedures, 2)to widen the cutting plane by applying water dissection and counter-traction techniques during the surgery, 3)to have thorough knowledge of the instruments to be used, and 4)to establish efficacious training programs not only for the surgeon himself but also for succeeding doctors to start their careers in laparoscopic surgery. The most effective recovery technique from the complication is suturing under laparoscope. Bipolar hemostasis is also an effective technique to control bleeding in gynecologic surgery.

Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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