Summary
With the more frequent use of the gynecological laparoscopy in recent years, there
has been a proportionate increase in complications. For, as with all operative treatments,
laparoscopy has characteristic complications associated with it. Unfortunately, they
are not known well enough in detail. Detailed communications on possible complications
have been published in the literature on internal medicine, but not in gynecological
literature. For this reason, an attempt is made to compile a record of the typical
complications of gynecological laparoscopy. Information has been obtained from the
work of many experts, from the literature, from personal conversations, and from individual
experiences in more than 3,500 laparoscopies. The causes and results of the complications
are analyzed, and finally suitable measures for avoiding and controlling complications
are proposed to the surgeon. Since the large majority of incidents occur while the
method is being learned, they are viewed as “beginning difficulties”. Most complications,
however, can be avoided through strict adherence to indications, good manual dexterity,
thorough mastery of the technique, the use of modern instruments, and a good anesthesia.
Key-Words
Endoskopie - Laparoskopie - gynäkologische Laparoskopie - Komplikationen
1 Herrn Prof. K. J. Anselmino zum 70. Geburtstag gewidmet.
