Open Laparoscopy, a Report of 12 Cases in Gynecology

―With Special Reference to the Diagnosis and Treatment of Infertility―

Abstract

Open laparoscopies were performed on patients with eleven infertilities and one ectopic pregnancy in our gynecology clinic. Eight cases of endometrioses were revealed in eleven severe infertile patients. There were three cases of different findings between preoperative hysterosalpingograms and chromotubations under laparoscopies. One case of ectopic pregnancy was cured by salpingectomy after diagnostic laparoscopy. All 12 patients had N₂O gas pneumoperitoneum under endo-tracheal intubated anesthesia. One case with both halothane and N₂O anesthesia became temporarily hypothermic during open laparoscopy. Indications of gynecologic laparoscopy, characteristics of open laparoscopy and its comparison with closed laparoscopy are discussed.