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.
Department of Urology, Tufts University School of Medicine, Boston, MA.
E A
EA
Kornfield
G R
GR
Sant
M P
MP
O'Leary
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