title: [Pneumoperitoneum related to celioscopy. Prevention of vascular wounds].
abstract: 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.
authors.affiliation: Service de Gynécologie-Obsttrique, Hôpital Lariboisière, Paris.
authors.forename: J H
authors.initials: JH
authors.lastname: Ravina
authors.forename: C
authors.initials: C
authors.lastname: Beges
authors.forename: J M
authors.initials: JM
authors.lastname: Bouret
authors.forename: N
authors.initials: N
authors.lastname: Ciraru-Vigneron
authors.forename: V
authors.initials: V
authors.lastname: Lefevre
authors.forename: S
authors.initials: S
authors.lastname: Ferrand
mesh_terms: 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*
vernacular_title: Pneumopéritoine de la coelioscopie. Prévention des plaies vasculaires.