[Analysis of 35,013 gynecologic laparoscopies (East German survey). 2].

In 81 women's hospital, in which 35,013 gynaecological laparoscopies were made, 42.9% of the specialists are able to perform laparoscopies by themselves. 51.9% of the questioned hospital directors recommend learning how to perform laparoscopies during specialization, and 48.1% plead for laparoscopy training only for gynaecologic specialists. 64.2% of the questioned ones were in favour of laparoscopy courses. Performance of diagnostic laparoscopies was recommended for all gynaecological institutions by 82.7%. In the opinion of the majority (74.8%) operative laparoscopies should be done only in larger central hospitals. It was generally agreed that chronic diseases of the lower abdomen, sterility and suspected ectopic pregnancy are indications for laparoscopy. Other acute complaints have been diagnosed less frequently by means of laparoscopy. Second-look-laparoscopies were made by 59.3% and 55.6% of the questioned doctors, mainly for checking the situation operations because of ovarian cancer and sterility. In 61.1% of all hospitals other diagnostic and therapeutic operations per laparoscopiam are done. The rate of severe complications was 0.21%, and the mortality rate amounted to 0.057%.