Pneumoperitoneum needle and trocar injuries in laparoscopy. A survey on possible contributing factors and prevention.
Fifty-one percent (407) of 800 certified Canadian obstetrician-gynecologists responded to a mail survey regarding laparoscopic procedures. Training and experience in performing laparoscopy were assessed. Experience with needle and sharp trocar injuries was also evaluated. One-quarter of the respondents had experienced at least one case of sharp trocar or needle injury, with half the cases requiring laparotomy for correction. Opinions on a new trocar-and-sheath system designed to reduce the risk of intraperitoneal injuries associated with trocar insertion were also elicited. The physician response to such an instrument was extremely positive; cost was the major negative concern.
Yuzpe
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Department of Gynecology, University Hospital, London, Ontario, Canada.
D000007:Abdominal Injuries / Q000209:etiology* / Q000517:prevention & control; D002170:Canada; D004501:Education, Medical; D005260:Female; D006801:Humans; D007422:Intestines / Q000293:injuries; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects*; D013525:Surgical Instruments; D011795:Surveys and Questionnaires; D001743:Urinary Bladder / Q000293:injuries; D014599:Uterus / Q000293:injuries