evaluating the risk factors of closed laparoscopic surgery in patients with previous gynecologic surgery

background development of complications during gynecologic laparoscopic surgery depends on many factors such as history of previous laparotomies. this factor usually increases the veres and first trocar complications. objectives in this study, we compared all operative complications between the patients with and without previous abdominal surgery. patients and methods all operative complications due to the first trocar insertion complications were recorded for 100 women who had laparoscopic surgery history during 2005-2010, and were compared with 100 age range in control groups. influence of different parameters on the risk of adverse complications after surgery was also taken into account. results in both case and control groups, there is no major complication due to the insertion of the first torcar or other procedures of laparoscopy. adhesion bands were identified in 69 of cases and 24% of them were lysed during laparoscopic surgery; but abdominal wall adhesions were not observed in any patients of control group. moreover, minor complications did not differ between cases and controls. seven percent of cases and 6% of controls required blood transfusion. there is a significant direct association between the number of previous surgery and increasing npo days(r = 0.28, p = 0.004). duration of postoperative hospital admission showed a significant difference between four types of surgery (p < 0.001). conclusions closed approach gynecological laparoscopy with careful method and preoperatively perdition of complication can be applied in patients having previous laparotomy history with inconsiderable complication increase.