Intestinal trauma in laparoscopy (diagnostics, treatment and prevention)

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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.

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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.

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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

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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от 15.07.2002 г.



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