Minilaparotomy for laparoscopy: not a foolproof procedure.
Minilaparotomy with placement of a trocar under direct vision has been felt to be a safe approach for establishing access to the intra-abdominal contents during laparoscopy. However, there is potential for hollow viscus injury. We report a case of a 23-year-old man whose small bowel was injured during placement of a Hasson trocar at the time of laparoscopic varix ligation. The literature on laparoscopic complications is reviewed, and recommendations for avoiding difficulties are outlined.
Kornfield
E A
EA
Department of Urology, Tufts University School of Medicine, Boston, MA.
Sant
G R
GR
O'Leary
M P
MP
D000328:Adult; D006801:Humans; D007421:Intestine, Small / Q000293:injuries*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects* / Q000379:methods; D008297:Male