Intestinal trauma in laparoscopy (diagnostics, treatment and prevention)
- Authors: Aziev O.V.1
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Affiliations:
- Russian State Medical University
- Issue: Vol 54, No 5S (2005)
- Pages: 96-96
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87589
- DOI: https://doi.org/10.17816/JOWD87589
- ID: 87589
Cite item
Abstract
Materials and methods. 37 intestinal traumas were studied respectively. 11 cases occured after the first trocar was placed, 20 cases - in process of laparoscopy, 6 cases were complicated with ileus in postoperative period.
Full Text
Materials and methods. 37 intestinal traumas were studied respectively. 11 cases occured after the first trocar was placed, 20 cases - in process of laparoscopy, 6 cases were complicated with ileus in postoperative period.
Results. Intestinal injuries in input of the first trocar occured only in case of repeated abdominal surgery and led to nonpenetrated intestinal injuries (6), penetrated intestinal injuries(3), through intestinal injuries (1), intestinal-abdominal wall fistula forming (1). Intestinal
injuries were revealed and cured intraoperatively in 11 patients. 8 patients developed peritonitis in 2-5 days and required urgent laparotomy. The restoration of all injuries was performed successfully with favourable outcomes.
Conclusion. Repeated abdominal surgery and using of monopolar electrosurgery for adhesion removing should be concerned as risk factors of intestinal traumas in laparoscopy.
About the authors
O. V. Aziev
Russian State Medical University
Author for correspondence.
Email: info@eco-vector.com
Faculty of pediatric, obstetrics and gynecology department
Russian Federation, Moscow