COMPLICATIONS OF LAPAROSCOPIC OPERATIONS ON THE PELVIC ORGANS IN FEMALES

The urgency of the problem. In the field of surgery the development of operative laparoscopy has been one of the most important steps forward over the past fifteen years. This technique has become the surgical treatment of choice for a number of indications in gynecology. The advantages of laparoscopy as compared with laparotomy are well known, and assessment of the risk of complications is essential.

Objectives. The aim of the study was to analyze the rate and the structure of complications of laparoscopic operations on pelvic organs in women at the University clinic since 2010 until 2012.

Methods. According to reports, the total number of laparoscopic operations at the University clinic during the period was 2452, gynecological 1716. All files of patients who had laparoscopic gynecological surgery at the University clinic were reviewed.

Results and Discussion. The main causes of complications are the following: insufficient experience of surgeon, lack of common management approaches to the major stages of operations, insufficient technical equipment.

Conclusion. In connection with this the following measures should be conducted to improve safety of laparoscopic surgery: objective assessment of the operating surgeon’s technical capacity of standardization.