[Reoperation in laparoscopic procedures].

Abstract

Besides of really positives bring laparoscopic procedures also complications, which sometimes demand reoperation. When in our literature nobody mentioned this topics the authors bring their own experiences with reoperations after laparoscopic procedures. The authors in time from March 1992 to November 1995 performed together 1836 laparoscopic operations. 19 times, it means in 1.03%, the reoperations was needed. In the paper the authors discuss the causes of the reoperations, possibilities and methods of complications solution. They also discuss possibilities of complications prevention. The open surgery was performed in lesions of biliary tree, in pancreatitis, peritonitis and duodenal lesion. This type of surgery was performed also in hernia repair after technical error. Laparoscopic reoperations were performed in haemorrhage from the gallbladder bed, in pritonitis and in recurrent inquinal hernia. There is to be said, that laparoscopic reoperations need experience in this technique. In euphory from the growing laparoscopic surgery there is the need to remark also complications and unsuccesses. With gaining experiences it is possible to perform also reoperations laparoscopically. It is important to be sufficiently aggressive in diagnostic procedures and also in therapy of complications. It is advisable to use diagnostic laparoscopy with adequate solution of situations. Keeping this all in mind, there is possible to minimise the sequelae of complications and reoperations. There is also the possibility to prevent the reoperations.