Recognition and management of major vessel injury during laparoscopy.
J Minim Invasive Gynecol
; 17(6): 692-702, 2010.
Article
en En
| MEDLINE
| ID: mdl-20656569
ABSTRACT
Laparoscopy is one of the most commonly performed procedures in the United States. Injury to a major retroperitoneal vessel occurs in 0.3% to 1.0% of procedures, most commonly during laparoscopic entry while placing the Veress needle or primary trocar. Fatal outcome can be related to massive gas embolism or exsanguination. Recommended treatment for gas embolism can range from supportive measures to external chest compression and insertion of a central line to withdraw gas from the right side of the heart. Recommended treatment of major vessel injury with massive hemorrhage consists of rapid laparotomy and control of hemorrhage using direct pressure until a surgeon experienced in vascular procedures arrives. When a major vessel injury occurs in a surgical facility distant from a medical center and without an available surgeon with vascular experience, based on the trauma literature, we recommend temporary control of blood loss using abdominal packing and closure (i.e., "damage control surgery") and judicious resuscitation (i.e., "damage control resuscitation") before transportation to a medical center.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Aorta Abdominal
/
Laparoscopía
/
Arteria Ilíaca
/
Vena Ilíaca
/
Complicaciones Intraoperatorias
Límite:
Humans
Idioma:
En
Revista:
J Minim Invasive Gynecol
Asunto de la revista:
GINECOLOGIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos