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OBJECTIVE: To identify laparoscopic entry techniques employed by gynecologists in the United Kingdom to determine if the consensus technique is adhered to, and to observe whether entry technique affects complication rate. METHOD: An anonymous postal questionnaire was sent to gynecologists with an interest in laparoscopic surgery in the United Kingdom. RESULTS: At total of 568 questionnaires were sent and 345 (60.7%) were returned. Of gynecologists who returned the questionnaire 194 (57%) reported occurrence of a major bowel or vascular complication. In terms of the key elements of the consensus document there was no significant difference in entry technique used between those that reported major injury (vascular, bowel, or both), and those that did not. CONCLUSIONS: This survey demonstrates the variation in entry techniques used by gynecologists in the United Kingdom. Without a good evidence-base to the contrary no entry technique can be stated as safer than another.

Original publication

DOI

10.1016/j.ijgo.2007.04.042

Type

Journal article

Journal

Int J Gynaecol Obstet

Publication Date

2007

Volume

99

Pages

52 - 55

Keywords

Blood Vessels/injuries Female Great Britain *Gynecologic Surgical Procedures/adverse effects/methods Gynecology Humans Intestines/injuries *Intraoperative Complications *Laparoscopy/adverse effects/methods Physicians Questionnaires