Laparoscopy

Laparoscopic Sterilization: A Review of its Value and Hazards1

“…Continuous' ECG monitoring should be conducted. Perforation of either the stomach (Fear, 1968;Smith and Dillon, 1970;Peterson and Behrmjn, 1971) or intestine (Chun et a%, 1970;Jordan et a&, 1971;Black, 1971), by either the Verres needle or the trocar have been reported in six gyniecological patients. This complication occurs most frequently when untrained personnel perform laparoscopy or when the patient is obese or has been previously subjected to lower abdominal surgery (Jordan et a%, 1971).…”

A Review of 600 Laparoscopic Sterilizations

“…Gastro-intestinal damage by the Verres needle or trocar has already been mentioned. In 2 gynaecological patients the stomach was perforated (Smith and Dillon, 1970;Peterson and Behrman, 1971). In the latter patient endotracheal intubation was not practised and distension of the stomach by gas occurred.…”

“…Sixty-seven non-gynaecological, and 5 gynaecological patients with intestinal perforation have been reported. Insufficient detail is available in 52 cases, but in the remaining 20, 14 occurred at the site of previous abdominal scars, 3 in patients with multiple intraperitoneal adhesions resulting from tuberculous peritonitis, and 1 in an extremely obese patient (Olim, 1941;Ruddock, 1949;Davey, 1963;Hitzelberger et al, 1966;Vilardell et al, 1968;Chun et al, 1970;Smith and Dillon, 1970;Jordan et al, 1971;Condos, 1972). These results indicate that patients who have previously been submitted to major lower abdominal surgery are not good candidates for laparoscopy.…”

Laparoscopic Techniques for Biomédical Research

“…A comprehensive list of indications, contraindications, complications, and case studies involving the use of the laparoscope has been provided by Smith and Dillon [56], The obvious advantage of laparoscopy noted in their report is that it can be performed in cases where culdoscopy is contraindicated due to disease or abnormal anatomy. A repertoire of ancillary procedures which can be performed with human laparoscopy has been described by Siegler and Garret [55].…”