title: Electrosurgical Injuries in Gynecologic Laparoscopy
abstract: We reviewed the 396 operative laparoscopies performed from March 1994 to March 1996 to determine the numbers and causes of electrical injuries. Electrical injuries were reported in four (1.01%) patients. Capacitive coupling induced by a laparoscope inserted through a conductive cannula sleeve with a nonconductive collar caused two bowel injuries that required laparotomy. Insulation failure of an electric cable resulted in a skin burn. A small surface contact area of a cannula sleeve being pulled out of the abdominal wall led to a surface burn in the abdominal wall. Lack of knowledge and insufficient attention on the part of laparoscopic surgeons and operating room personnel may result in electrosurgical accidents.
authors.affiliation: Division of Endoscopy, Hospital Femina S/A, Rua Luzitana 900/203, Bairro Higienopolis - RS - Brazil, CEP 90520-080
authors.initials: S
authors.lastname: Galbinski
authors.initials: MAS
authors.lastname: Varela
authors.initials: F
authors.lastname: Garcia