Small bowel obstruction in a peritoneal defect after laparoscopic Burch procedure.
With expansion of laparoscopic surgery, the gynecologic surgeon faces a new set of complications not encountered in open surgery and completely related to the laparoscopic approach. A rare complication occurred after laparoscopic Burch colposuspension performed in a patient with genuine stress urinary incontinence. Although the fascial incision at the right lower quadrant cannula insertion site was closed, a loop of small bowel herniated through the nonclosed peritoneal defect and caused intestinal obstruction 9 days after surgery. For cannula insertion sites 10-mm and greater, we recommend suturing peritoneal defects at the time of fascial closure. (J Am Assoc Gynecol Laparosc 6(3):343-345, 1999)
Margossian
H
H
Department of Gynecology A/81, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Pollard
R R
RR
Walters
M D
MD
D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007813:Laparotomy; D010537:Peritoneum / Q000293:injuries*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery