[Vascular complications during laparoscopy. An analysis of a personal case]. / Complicazioni vascolari in corso di laparoscopia. Analisi di una osservazione personale.
Minerva Chir
; 54(3): 163-5, 1999 Mar.
Article
en It
| MEDLINE
| ID: mdl-10352526
Vascular complications of laparoscopy most often occur during Veress needle or primary trocar placement. Veress needle punctures are insignificant and require no further treatment, whereas trocar induced vascular injuries can be catastrophic. The frequency of vascular or viscus injuries is difficult to calculate since several complications are not published. A vascular complication occurred in a young girl with neurologic problems and a kyphoscoliosis operated on in laparoscopy for a gastroesophageal reflux is discussed. After the establishment of pneumoperitoneum, an important hemoperitoneum was rapidly evident at insertion of the laparoscope. An open laparotomy was performed showing right common iliac vessel injuries and several intestinal perforations. After a complex vascular reconstruction and a multiple intestinal suture, the Nissen fundoplication with pyloroplasty was performed traditionally and the patient leave the hospital free of symptoms after 20 days. In laparoscopy, as in all areas of surgery, experience knowledge and meticulous attention to details are the most important factors in order to avoid complications. The authors believe that the open approach with Hasson cannula is the most important factor in avoiding complications.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Laparoscopía
/
Hemoperitoneo
/
Arteria Ilíaca
/
Vena Ilíaca
/
Complicaciones Intraoperatorias
Tipo de estudio:
Etiology_studies
Límite:
Child, preschool
/
Female
/
Humans
Idioma:
It
Revista:
Minerva Chir
Año:
1999
Tipo del documento:
Article