[Pneumoperitoneum related to celioscopy. Prevention of vascular wounds].
The insertion of the inflation needle during laparoscopic procedures carries the risk of severe vascular damage to the aorto-cava bifurcation. Interindividual anatomic variation is great as shown by magnetic resonance imaging, increasing the risk of vascular damage. Four simple technical precautions are recommended to prevent accidents: insertion at the lower umbilical margin, widen distance between the umbilicus and the greater vessels, a 45 degree insertion angle and strictly medial position.
Ravina
J H
JH
Service de Gynécologie-Obsttrique, Hôpital Lariboisière, Paris.
Beges
C
C
Bouret
J M
JM
Ciraru-Vigneron
N
N
Lefevre
V
V
Ferrand
S
S
D001012:Aorta, Abdominal / Q000293:injuries*; D001018:Aortic Diseases / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011027:Pneumoperitoneum / Q000150:complications*; D014682:Vena Cava, Inferior / Q000293:injuries*
Pneumopéritoine de la coelioscopie. Prévention des plaies vasculaires.